GRANT R RICKEY

MODESTO, CA
NPI1861588410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  26912)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Dr. GRANT R RICKEY DDS
3608 DALE RD.
MODESTO, CA 95356
Phone number: 209-577-0777
Mailing Address
Dr. GRANT R RICKEY DDS
3608 DALE RD.
MODESTO, CA 95356
Phone number: 209-577-0777
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