Individual
DR. STEPHANIE RIZZUTO RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1500 ASTON AVE, MCCOMB, MS 39648-2735
(601) 684-0747
Mailing address
1500 ASTON AVE, MCCOMB, MS 39648-2735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3932-17
MS
Other
Enumeration date
06/27/2017
Last updated
03/01/2018
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