DR. Rickie W. Penny, D.M.D.

NPI #1134285240 in Belleville, Illinois

Provider Information

NPI Number
1134285240
Entity Type
Individual
Name
DR. Rickie W. Penny, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jan 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2262 COUNTRY RD
ZIP Code
62221-2576
Phone
(618) 236-2301

Specialties & Taxonomy Codes

Specialty
Dentist

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