Individual
DR. ARTIE RICAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS CDT
Contact information
Practice address
320 N JEFF DAVIS DR, SUITE B, FAYETTEVILLE, GA 30214-1669
(770) 461-3921
(770) 461-0944
Mailing address
320 N JEFF DAVIS DR, SUITE B, FAYETTEVILLE, GA 30214-1669
(770) 461-3921
(770) 461-0944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013082
GA
Other
Enumeration date
12/13/2006
Last updated
02/09/2012
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