Individual
DR. RAY WILLIAM TUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2451 E BASELINE RD, SUITE 210, GILBERT, AZ 85234-2471
(480) 545-8700
Mailing address
5621 E GREENWAY CIR, MESA, AZ 85205-4340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4333
AZ
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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