Individual
DR. DALLEN BRYCE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2420 QUAKER AVE, 104, LUBBOCK, TX 79410-1817
(806) 797-0341
Mailing address
2420 QUAKER AVE, 104, LUBBOCK, TX 79410-1817
(806) 797-0341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29747
TX
122300000X
Dentist
7125-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
09/26/2015
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