Organization
RAY TUCKETT, DDS, PC
Active
Other names
Marketplace Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WILLIAM TUCKETT DDS (PRESIDENT)
(480) 545-8700
Entity
Organization
Contact information
Practice address
18610 E. RITTENHOUSE RD, BLDG A, #106, QUEEN CREEK, AZ 85242-4504
(480) 545-8700
Mailing address
18610 E. RITTENHOUSE RD, BLDG A, #106, QUEEN CREEK, AZ 85242-4504
(480) 545-8700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4333
AZ
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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