| Jacob Rider Dds Llc | |
|
2437 Harbor Blvd Ventura CA 93001-3904 | |
| (805) 804-5590 | |
| Not Available |
| Full Name | Jacob Rider Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2437 Harbor Blvd, Ventura, California |
| Authorized Official Name and Position | Jacob Rider (OWNER DENTIST) |
| Authorized Official Contact | 3174570338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Rider Dds Llc 702 Cedar Pl Ventura CA 93001-1920 Ph: (317) 457-0338 | Jacob Rider Dds Llc 2437 Harbor Blvd Ventura CA 93001-3904 Ph: (805) 804-5590 |
| NPI Number | 1316779432 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316779432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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