RYAN DANIEL JOHNSON

SPRINGFIELD, IL
NPI1821228131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.028015)
Enumeration Date2009-07-21
Last Update Date2012-11-28
Business Address
-- RYAN DANIEL JOHNSON DMD
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
Mailing Address
-- RYAN DANIEL JOHNSON DMD
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
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