Jacob Rider DDS LLC
NPI #1316779432 in Ventura, California
Provider Information
- NPI Number
- 1316779432
- Entity Type
- Organization
- Organization Name
- Jacob Rider DDS LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 2437 HARBOR BLVD
- City
- Ventura
- State
- California
- ZIP Code
- 93001-3904
- Phone
- (805) 804-5590
Authorized Official
- Name
- JACOB RIDER
- Title
- OWNER DENTIST
- Phone
- (317) 457-0338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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