NPI 1013904564
Lara L Tull Ryan DDS Ms PA
Practice location
- Address
- 4601 W. 109th St. Suite 212, Overland Park, KS 66211
- Phone
- (913) 491-5548
- Fax
- (913) 491-0793
- Mailing address
- 4601 W 109th St Suite 212, Overland Park, KS 66211
Authorised official
- Name
- Lara L Tull Ryan
- Title
- Owner
- Phone
- (913) 491-5548
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1013904564
- Entity type
- Organization
- NPI issued
- 30 Sep 2005
- Record last updated
- 27 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.