Ellen Ryan, RDH

NPI #1952852683 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1952852683
Entity Type: Individual
Name: Ellen Ryan, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 207 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-2450
Phone: (800) 942-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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