Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 53906 | CA |
NPI | 1033242342 |
---|---|
Provider Name | Ryan Joseph Franklin |
First Address | Oakhurst, CA 93644-8615 |
Second Address | Oakhurst, CA 93644-8615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |