DR. Ricky Cornish, DDS

NPI #1821062696 in West Plains, Missouri

Provider Information

NPI Number: 1821062696
Entity Type: Individual
Name: DR. Ricky Cornish, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 16, 2006
Last Updated: Dec 23, 2009

Practice Location

Address: 1710 W BROADWAY
City: West Plains
State: Missouri
ZIP Code: 65775
Phone: (417) 256-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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