Individual
RYAN NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1930 S DOBSON RD STE 1, MESA, AZ 85202-5657
(480) 730-0500
Mailing address
11232 N 136TH PL, SCOTTSDALE, AZ 85259-4647
(480) 861-7002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012498
AZ
1223G0001X
General Practice Dentistry
D012498
AZ
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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