Individual
DR. RYAN CHRISTOPHER LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2025 N POWER RD STE 101, MESA, AZ 85215-2913
(480) 964-1560
Mailing address
2025 N POWER RD STE 101, MESA, AZ 85215-2913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009788
AZ
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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