Individual
RYAN DIRA RICAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
6043 WINTHROP COMMERCE AVE STE 101, RIVERVIEW, FL 33578-4272
(904) 254-2652
Mailing address
3110 W PALMIRA AVE, TAMPA, FL 33629-7228
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20795
FL
Other
Enumeration date
04/16/2012
Last updated
07/26/2023
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