Individual
MRS. HEATHER RICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
404 RIDGE ST, FREELAND, PA 18224-1802
(570) 704-4221
Mailing address
122 KESTREL RD, MOUNTAIN TOP, PA 18707-2601
(570) 704-4221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH067827
PA
Other
Enumeration date
09/28/2021
Last updated
09/29/2021
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