Individual
RYAN CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23076 THREE NOTCH RD STE 203, CALIFORNIA, MD 20619-2491
(240) 349-5000
Mailing address
23076 THREE NOTCH RD STE 203, CALIFORNIA, MD 20619-2491
(240) 349-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18585
MD
1223P0221X
Pediatric Dentistry
Primary
18585
MD
Other
Enumeration date
03/16/2023
Last updated
11/26/2025
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