| Ryan Hartley Dmd Pllc | |
|
954 52nd St Se Kentwood MI 49508-6004 | |
| (616) 724-1780 | |
| Not Available |
| Full Name | Ryan Hartley Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 954 52nd St Se, Kentwood, Michigan |
| Authorized Official Name and Position | Ryan Hartley (OWNER) |
| Authorized Official Contact | 6164603838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Hartley Dmd Pllc 954 52nd St Se Kentwood MI 49508-6004 Ph: (616) 724-1780 | Ryan Hartley Dmd Pllc 954 52nd St Se Kentwood MI 49508-6004 Ph: (616) 724-1780 |
| NPI Number | 1497592414 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497592414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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