Jake Ryan
NPI #1528746070 in St Augustine, Florida
Provider Information
- NPI Number
- 1528746070
- Entity Type
- Individual
- Name
- Jake Ryan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 4327 US 1 S
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-7278
- Phone
- (904) 494-8630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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