DR. Larry R Ficklin, DDS

NPI #1962669283 in New Haven, Missouri

Provider Information

NPI Number: 1962669283
Entity Type: Individual
Name: DR. Larry R Ficklin, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 22, 2008
Last Updated: May 22, 2008

Practice Location

Address: 104 MILLER ST
City: New Haven
State: Missouri
ZIP Code: 63068-1143
Phone: (573) 237-3038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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