DEREK T RICKSON

LOGAN, UT
NPI1508419698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  11773797-9923)
Enumeration Date2019-07-18
Last Update Date2020-07-06
Business Address
DR. DEREK T RICKSON DDS
1451 N 200 E STE 200
LOGAN, UT 84341-7565
Phone number: 435-258-9039
Mailing Address
DR. DEREK T RICKSON DDS
542 S 850 E
SMITHFIELD, UT 84335-2549
Phone number: 435-764-8618
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