RYAN LISANN

SOMERVILLE, MA
NPI1427668029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MA  DN1858741)
Enumeration Date2020-08-07
Last Update Date2020-08-07
Business Address
Dr. RYAN LISANN
474 BROADWAY APT 110
SOMERVILLE, MA 02145-2630
Phone number: 617-623-2223
Mailing Address
Dr. RYAN LISANN
73 RIVER ST APT 2B
CAMBRIDGE, MA 02139-3818
Phone number: 631-896-3506
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