Organization
CHARLES S. RICKS
Active
Other names
The Children's Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S RICKS D.D.S. (OWNER)
(559) 625-9300
Entity
Organization
Contact information
Practice address
136 ASPEN COURT, SUITE B, VISALIA, CA 93291
(559) 625-9300
(559) 624-1231
Mailing address
136 S ASPEN CT, VISALIA, CA 93291-5175
(559) 625-9300
(559) 625-9330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23135
CA
Other
Enumeration date
10/15/2009
Last updated
11/12/2013
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