Individual
DR. FRED R RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1923 NEBRASKA STREET, SIUOX CITY, IA 51104
(712) 258-7734
(712) 258-9054
Mailing address
1923 NEBRASKA STREET, SIUOX CITY, IA 51104
(712) 258-7734
(712) 258-9054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123539
—
IA
05
—
10025084800
—
NE
Enumeration date
02/23/2007
Last updated
07/08/2007
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