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Dr. Ryan J. Molis, D.D.S.

Dentist, General Practice in Burr Ridge, IL. Individual provider (NPI-1).

NPI number1083824544
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1083824544
Entity type
Individual (NPI-1)
Name
Dr. Ryan J. Molis
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019.025605ILYes

Practice location

16w375 83rd St
Burr Ridge, IL 60527-5841

Phone 630-920-1990 · Fax 630-920-9715

Mailing address

16w375 83rd St
Burr Ridge, IL 60527-5841

Phone 630-920-1990 · Fax 630-920-9715

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