Individual
DR. RYAN D CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4283 N. PIMA WAY, LAKE MONTEZUMA, AZ 86342-8634
(480) 734-9784
(918) 872-7147
Mailing address
PO BOX 5682, LK MONTEZUMA, AZ 86342-5682
(928) 202-4787
(918) 872-7147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009128
AZ
Other
Enumeration date
06/21/2013
Last updated
01/03/2019
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