Jorge Rico, DDS Valid NPI
Individual provider · Dentist · Elk Grove, CA
- NPI
- 1609965599
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 47412 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-11
- Last updated
- 2007-11-02
Practice location
9390 Big Horn Blvd, Suite 130
Elk Grove, CA 95758
(916) 684-8200