Ricky Eugene Harrell DMD

NPI 1003933862 - Dentist - 122300000X

NPI Details
NPI 1003933862
Gender Male
Enumeration Date 03/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13065 E 17TH PL
AURORA CO, 80045-7238, US
Phone (303) 724-0725
Fax
Business Location
13849 LEGEND TRL
UNIT 103
BROOMFIELD CO, 80020-8275, US
Phone (303) 469-0735
Fax
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 104878
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According to our database, Dr. Ricky Eugene Harrell DMD NPI is 1003933862, taxonomy code is 122300000X and license number is 104878, license state is located at Colorado. Ricky Eugene Harrell DMD physically located at 13065 E 17th Pl, Aurora CO, 80045-7238. NPI Number Ricky Eugene Harrell DMD has the Individual type.

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1003933862 NPI number is provided on an as is basis without warranty of any kind. 1003933862 is maintained by the National Plan & Provider Enumeration System. The contents of Ricky Eugene Harrell DMD are for informational purposes only.