Organization
ALEXANDRA BOUDREAU AND KEVIN RICKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RICKER DDS, MS (PEDIATRIC DENTIST)
(919) 391-3813
Entity
Organization
Contact information
Practice address
79 FALLING SPRINGS DR., SUITE 120, CHAPEL HILL, NC 27516
(919) 391-3813
Mailing address
79 FALLING SPRINGS DR., SUITE 120, CHAPEL HILL, NC 27516
(919) 391-3813
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9311
NC
Other
Enumeration date
10/12/2016
Last updated
08/09/2023
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