| Alexandra Boudreau And Kevin Ricker | |
|
79 Falling Springs Dr. Suite 120 Chapel Hill NC 27516 | |
| (919) 391-3813 | |
| Not Available |
| Full Name | Alexandra Boudreau And Kevin Ricker |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 79 Falling Springs Dr., Chapel Hill, North Carolina |
| Authorized Official Name and Position | Kevin Ricker (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9193913813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Boudreau And Kevin Ricker 79 Falling Springs Dr. Suite 120 Chapel Hill NC 27516 Ph: (919) 391-3813 | Alexandra Boudreau And Kevin Ricker 79 Falling Springs Dr. Suite 120 Chapel Hill NC 27516 Ph: (919) 391-3813 |
| NPI Number | 1700336955 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700336955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9311 (North Carolina) | Primary |
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