Individual
RICKY DALE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5815 MELTON DR, OKLAHOMA CITY, OK 73132-4934
(405) 721-7442
(405) 720-2855
Mailing address
555 W BENJAMIN HOLT DR, BUILDING B, STOCKTON, CA 95207-3839
(209) 476-4700
(209) 478-6890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4807
OK
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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