Shane Austin Ricci D.D.S.

NPI 1073724142 - Dentist - 1223G0001X

NPI Details
NPI 1073724142
Gender Male
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5132 VILLAGE CREEK DR
SUITE 400
PLANO TX, 75093-5064, US
Phone (972) 381-1888
Fax
Business Location
10604 BLUE BAY DR
FRISCO TX, 75035-8574, US
Phone (210) 912-2985
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 0022884
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According to our database, Dr. Shane Austin Ricci D.D.S. NPI is 1073724142, taxonomy code is 1223G0001X and license number is 0022884, license state is located at Texas. Shane Austin Ricci D.D.S. physically located at 5132 Village Creek Dr, Plano TX, 75093-5064. NPI Number Shane Austin Ricci D.D.S. has the Individual type.

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1073724142 NPI number is provided on an as is basis without warranty of any kind. 1073724142 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Austin Ricci D.D.S. are for informational purposes only.