Individual
DR. BENJAMIN RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 W WINFORD DR, RIVERTON, UT 84065-7439
(925) 330-5513
Mailing address
1812 W WINFORD DR, RIVERTON, UT 84065-7439
(925) 330-5513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000101
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2024
Last updated
05/29/2024
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