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DR. LAWRENCE P RYAN DDS,MD

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1205961042

Individual Registrant:
DR. LAWRENCE P RYAN DDS,MD
Gender: M
Sole Proprietor

Location and contact information for practice:
11 S MAIN ST SUITE 1 MARLBOROUGH, CT 06447-1553 US
Tel: 860-295-8780  Fax: 860-295-0875

Contact information for business:
11 S MAIN ST SUITE 1 MARLBOROUGH, CT 06447-1553 US
Tel: 860-295-8780  Fax: 860-295-0875

Registration Information:
NPI: 1205961042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
CT007529

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA DENTAL HEALTH204861TN01
DELTA207529NJ01
CONNECTICARE INSURANCE007529CT01
ANTHEM BLUE CROSS020007529CT07CT01
CIGNA0418117PA01
AETNA4332423TX01




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