RYAN N VAN ALFEN

EAGLE, ID
NPI1245343631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3611)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Dr. RYAN N VAN ALFEN DDS, PLC
483 S RIVERSHORE LN STE 102
EAGLE, ID 83616-4978
Phone number: 208-938-2100
Mailing Address
Dr. RYAN N VAN ALFEN DDS, PLC
483 S RIVERSHORE LN STE 102
EAGLE, ID 83616-4978
Phone number: 208-938-2100
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