| NPI | 1669163622 |
|---|---|
| Doing Business As | AUSTIN T RICKABAUGH DDS LLC |
| Entity Type | Organization |
| Authorized Contact | AUSTIN RICKABAUGH Dentist/Owner 620-212-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |