Individual
RICHARD RYAN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 ACOMA BLVD, LAKE HAVASU CITY, AZ 86403
(406) 939-2093
Mailing address
80 ACOMA BLVD, LAKE HAVASU CITY, AZ 86403
(406) 939-2093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2288
MT
1223G0001X
General Practice Dentistry
Primary
D009686
AZ
Other
Enumeration date
07/30/2008
Last updated
07/21/2022
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