RICKEY SHANE THOMPSON

SHIPROCK, NM
NPI1184613945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  15951)
Enumeration Date2005-10-14
Last Update Date2007-09-20
Business Address
-- RICKEY SHANE THOMPSON DDS
US HWY 491 NORTH
SHIPROCK, NM 67420
Phone number: 505-368-6401
Mailing Address
-- RICKEY SHANE THOMPSON DDS
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401