Individual
MR. RYAN JOSEPH CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
34225 N 27TH DRIVE, BLDG 5 STE 240, PHOENIX, AZ 85085
(623) 322-1538
Mailing address
34225 N 27TH DRIVE, BLDG 5 STE 241, PHOENIX, AZ 85085-6019
(623) 439-2280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009230
AZ
1223G0001X
General Practice Dentistry
Primary
D9230
AZ
Other
Enumeration date
06/19/2015
Last updated
01/15/2021
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