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Individual

DR. RICKY ALLEN WARF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2420 NW PROFESSIONAL DR, SUITE 150, CORVALLIS, OR 97330-3990
(541) 758-6587
(541) 758-6768
Mailing address
2420 NW PROFESSIONAL DR, SUITE 150, CORVALLIS, OR 97330-3990
(541) 758-6587
(541) 758-6768

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6597
OR

Other

Enumeration date
11/04/2009
Last updated
05/03/2010
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