DR. Mathew Willis Ricks, DMD

NPI #1669440756 in Winslow, Arizona

Provider Information

NPI Number: 1669440756
Entity Type: Individual
Name: DR. Mathew Willis Ricks, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 321 W 2ND ST
City: Winslow
State: Arizona
ZIP Code: 86047-3406
Phone: (928) 289-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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