Individual
RYAN KNIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2818
(575) 526-1105
Mailing address
605 E GARDEN AVE, SOUTH SALT LAKE, UT 84106-1338
(385) 722-6326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5649
NM
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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