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Individual

DR. RICKY EUGENE HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
13065 E 17TH PL, AURORA, CO 80045-7238
(303) 724-0725
Mailing address
13849 LEGEND TRL, UNIT 103, BROOMFIELD, CO 80020-8275
(303) 469-0735

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104878
CO

Other

Enumeration date
03/24/2007
Last updated
07/08/2007
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