NPI | 1801253505 |
---|---|
Doing Business As | RICKS FAMILY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KENNETH GORDON RICKS Owner 661-432-7773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |