DR. Walter Randy Ridgway, D.D.S.

NPI #1508967415 in Huntsville, Arkansas

Provider Information

NPI Number: 1508967415
Entity Type: Individual
Name: DR. Walter Randy Ridgway, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 302 NORTH HUGHES STREET
City: Huntsville
State: Arkansas
ZIP Code: 72740-0605
Phone: (479) 738-6920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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