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1083307136
RYAN MASSINOPLE
CHICAGO, IL
NPI
1083307136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019034295)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
RYAN MASSINOPLE DDS
1259 S WABASH AVE
CHICAGO, IL 60605-2412
Phone number: 312-846-6752
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Mailing Address
RYAN MASSINOPLE DDS
1 UPPER MIDDLE RD
CHARLESTON, WV 25314-1439
Phone number: 304-549-9177
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