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Individual

DEREK JAMES FICKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
309 S CHAPEL ST, LOUISVILLE, OH 44641-1612
(330) 875-2200
Mailing address
12575 COLUMBIANA CANFIELD RD, COLUMBIANA, OH 44408-9778
(330) 501-4217

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027190
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/09/2023
Last updated
07/23/2023
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