Individual
DR. CLAYTON L. RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11210 SOUTH MOBLEY ROAD, TAMPA, FL 33626
(813) 792-7878
(813) 920-1770
Mailing address
11210 SOUTH MOBLEY ROAD, TAMPA, FL 33626
(813) 792-7878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16055
FL
Other
Enumeration date
09/19/2005
Last updated
08/13/2010
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