Ridge Dental Ltd

NPI #1063556934 in Chicago Ridge, Illinois

Provider Information

NPI Number
1063556934
Entity Type
Organization
Organization Name
Ridge Dental Ltd
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 16, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6422 W 107TH ST
ZIP Code
60415
Phone
(708) 424-0052

Authorized Official

Name
CHRISTOPHER JOHN GREEN, DDS
Title
OWNER
Phone
(708) 424-0052

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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