Individual
SAMANTHA LEIGH RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8194
Mailing address
505 GLENN DR, CHATHAM, IL 62629-1729
(217) 416-9189
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.014249
IL
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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