Individual
DR. DONNA LYNN RICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
40 BEECH ST, FRUITPORT, MI 49415-9300
(231) 865-6141
(231) 865-6198
Mailing address
40 BEECH ST, FRUITPORT, MI 49415-9300
(231) 865-6141
(231) 865-6198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2587410
—
MI
Enumeration date
08/19/2006
Last updated
07/08/2007
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