Individual
ERWIN M RICAFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1826 WARD DR, SUITE 204, MURFREESBORO, TN 37129-0578
(615) 890-0474
(615) 890-0256
Mailing address
1826 WARD DR, SUITE 204, MURFREESBORO, TN 37129-0578
(615) 890-0474
(615) 890-0256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7663
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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