Rickey & Wong, Dds, Inc.

NPI 1154652840 - Dentist - 1223G0001X

NPI Details
NPI 1154652840
Enumeration Date 01/20/2010
Last Updated 01/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBIN ROBIN
Position DIRECTOR OF INCOME
Phone (209) 577-0777
Fax (209) 577-0885
Practice Location
3608 DALE RD
MODESTO CA, 95356-0500, US
Phone (209) 577-0777
Fax (209) 577-0885
Business Location
3608 DALE RD
MODESTO CA, 95356-0500, US
Phone (209) 577-0777
Fax (209) 577-0885
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 45792
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According to our database, Rickey & Wong, Dds, Inc. NPI is 1154652840, taxonomy code is 1223G0001X and license number is 45792, license state is located at California. Rickey & Wong, Dds, Inc. physically located at 3608 Dale Rd, Modesto CA, 95356-0500. NPI Number 1033115704 has the healthcare provider type.

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1154652840 NPI number is provided on an as is basis without warranty of any kind. 1154652840 is maintained by the National Plan & Provider Enumeration System. The contents of Rickey & Wong, Dds, Inc. are for informational purposes only.