RYAN JAMES CANADA

SIOUX CITY, IA
NPI1356623995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  09501)
Additional Taxonomies122300000X Dentist
(Licence: NV  6109)
122300000X Dentist
(Licence: NE  6998)
Enumeration Date2011-09-09
Last Update Date2019-04-11
Business Address
RYAN JAMES CANADA D.M.D
3500 S LAKEPORT ST
SIOUX CITY, IA 51106-4516
Phone number: 712-276-5547
Mailing Address
RYAN JAMES CANADA D.M.D
3050 VALLEY DR
SIOUX CITY, IA 51104-4074
Phone number: