Individual
DR. RICKY CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 W BROADWAY, WEST PLAINS, MO 65775
(417) 256-4171
(417) 256-9714
Mailing address
1710 W BROADWAY, WEST PLAINS, MO 65775
(417) 256-4171
(417) 256-9714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016054
MO
Other
Enumeration date
02/16/2006
Last updated
12/23/2009
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