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Individual

DR. RICHARD JAMES RONK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
200 S 29TH ST, COUNCIL BLUFFS, IA 51501-3449
(712) 322-7912
Mailing address
200 S 29TH ST, COUNCIL BLUFFS, IA 51501-3449
(712) 322-7912

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06357
IA
1223G0001X
General Practice Dentistry
5546
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150995
IA
01
25215
BCBSNE PROVIDER NO.
NE
Enumeration date
10/21/2006
Last updated
07/09/2007
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