Individual
DR. ROBERT RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4218
(336) 667-4143
Mailing address
122 WILKESBORO AVE, P.O. BOX 157, NORTH WILKESBORO, NC 28659-4218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4109
NC
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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