NPI | 1962039057 |
---|---|
Doing Business As | DR. MATTHEW RYAN |
Entity Type | Organization |
Authorized Contact | MATTHEW D RYAN Owner 916-486-8255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-26 |