DR. Rickey Brent Douglas, DDS

NPI #1134174428 in Van Buren, Arkansas

Provider Information

NPI Number
1134174428
Entity Type
Individual
Name
DR. Rickey Brent Douglas, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1607 MAIN ST
ZIP Code
72956-4735
Phone
(479) 474-7076

Specialties & Taxonomy Codes

Specialty
Dentist

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