Individual
RONALD ANTHONY DICARLO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1111 RIATA VALLEY RD, STE 300, KINGMAN, AZ 86409
(928) 757-8700
(928) 757-0399
Mailing address
1111 RIATA VALLEY RD, STE 300, KINGMAN, AZ 86409
(928) 757-8700
(928) 757-0399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6061
AZ
Other
Enumeration date
04/13/2006
Last updated
08/02/2007
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