Individual
RICKIN VIBHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W PONCE DE LEON AVE STE 240, DECATUR, GA 30030-2483
(630) 740-2042
Mailing address
1631 STANWOOD AVE SE, ATLANTA, GA 30317-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058685-1
NY
Other
Enumeration date
06/15/2015
Last updated
08/02/2025
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