Search › Idaho › 1223G0001X
Ryan Van Alfen, DDS, PLC
NPI 1245343631 · on the registry since 2006 · sole proprietor
Practice
- Address
- 483 S Rivershore Ln Ste 102
Eagle, ID 83616 - Phone
- (208) 938-2100
- Fax
- (208) 938-0676
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho