RICKEY BRENT DOUGLAS

VAN BUREN, AR
NPI1134174428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AR  2272)
Enumeration Date2006-05-24
Last Update Date2007-07-08
Business Address
Dr. RICKEY BRENT DOUGLAS DDS
1607 MAIN ST
VAN BUREN, AR 72956-4735
Phone number: 479-474-7076
Mailing Address
Dr. RICKEY BRENT DOUGLAS DDS
1607 MAIN ST
VAN BUREN, AR 72956-4735
Phone number: 479-474-7076