| Jacob Rider Dds Corporation | |
|
2437 Harbor Blvd Ventura CA 93001-3904 | |
| (805) 804-5590 | |
| Not Available |
| Full Name | Jacob Rider Dds Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2437 Harbor Blvd, Ventura, California |
| Authorized Official Name and Position | Jacob Rider (PRESIDENT) |
| Authorized Official Contact | 8058045590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Rider Dds Corporation 2437 Harbor Blvd Ventura CA 93001-3904 Ph: (805) 804-5590 | Jacob Rider Dds Corporation 2437 Harbor Blvd Ventura CA 93001-3904 Ph: (805) 804-5590 |
| NPI Number | 1043046378 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043046378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Nanda Specialists: A Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3088 Telegraph Rd Ste A, Ventura, CA 93003 Phone: 907-821-1992 | |
Ventura Dental Specialty Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3390 Loma Vista Rd, Suite#c, Ventura, CA 93003 Phone: 805-658-0700 Fax: 805-658-0777 |