Individual
DR. RYAN MICHAEL KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1971 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403-6118
(928) 733-6070
Mailing address
1626 W THUNDERHILL DR, PHOENIX, AZ 85045-1801
(480) 235-6345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010023
AZ
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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