DR. Derek T Rickson, DDS

NPI #1508419698 in Logan, Utah

Provider Information

NPI Number
1508419698
Entity Type
Individual
Name
DR. Derek T Rickson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 18, 2019
Last Updated
Jul 6, 2020

Practice Location

Address
1451 N 200 E STE 200
City
Logan
State
Utah
ZIP Code
84341-7565
Phone
(435) 258-9039

Specialties & Taxonomy Codes

Specialty
Dentist

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