Ridder Dental LLC

NPI #1760113534 in Kokomo, Indiana

Provider Information

NPI Number
1760113534
Entity Type
Organization
Organization Name
Ridder Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 22, 2022
Last Updated
Jun 22, 2022

Practice Location

Address
604 E BOULEVARD STE A
City
Kokomo
State
Indiana
ZIP Code
46902-2286
Phone
(765) 864-2325

Authorized Official

Name
JACLYN KRISTINE RIDDER, DDS
Title
OWNER
Phone
(317) 418-1342

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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