Stephen L Rider, DDS

NPI #1699887729 in Kewanee, Illinois

Provider Information

NPI Number: 1699887729
Entity Type: Individual
Name: Stephen L Rider, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 125 WEST SOUTH STREET
Address 2: SUITE #10
City: Kewanee
State: Illinois
ZIP Code: 61443
Phone: (309) 852-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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