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Individual

DR. LARRY D RICKBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
2844 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 731-0803
(803) 227-2844
Mailing address
2844 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 731-0803
(803) 227-2844

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2345
SC

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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