Individual
JOHN L RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2620 48TH AVE W, BRADENTON, FL 34207-1700
(941) 753-1432
Mailing address
2620 48TH AVE W, BRADENTON, FL 34207-1700
(941) 753-1432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN4857
FL
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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