| Dr. Matthew Ryan Dental Practice Corporation | |
|
4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 | |
| (916) 486-8255 | |
| (916) 486-8266 |
| Full Name | Dr. Matthew Ryan Dental Practice Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4350 Marconi Ave Ste 100, Sacramento, California |
| Authorized Official Name and Position | Matthew D Ryan (OWNER) |
| Authorized Official Contact | 9164868255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Matthew Ryan Dental Practice Corporation 4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 Ph: (916) 486-8255 | Dr. Matthew Ryan Dental Practice Corporation 4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 Ph: (916) 486-8255 |
| NPI Number | 1962039057 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962039057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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