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Individual

DR. PETER RICK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
919 S BEECHTREE ST STE 7, GRAND HAVEN, MI 49417-2384
(616) 844-4400
Mailing address
919 S BEECHTREE ST STE 7, GRAND HAVEN, MI 49417-2384

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600568
MI
1223G0001X
General Practice Dentistry
2901600568APP20
MI

Other

Enumeration date
05/18/2020
Last updated
06/15/2020
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