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Organization
RAY TUCKETT, DDS, PC
Active
Organization
RAY TUCKETT, DDS, PC
Active
Other names
Marketplace Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WILLIAM TUCKETT DDS (PRESIDENT)
(480) 545-8700
Entity
Organization
Contact information
Practice address
18610 E. RITTENHOUSE RD, BLDG A, #106, QUEEN CREEK, AZ 85242-4504
(480) 545-8700
Mailing address
18610 E. RITTENHOUSE RD, BLDG A, #106, QUEEN CREEK, AZ 85242-4504
(480) 545-8700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4333
AZ
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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