| Ridder Dental Llc | |
|
604 E Boulevard Ste A Kokomo IN 46902-2286 | |
| (765) 864-2325 | |
| Not Available |
| Full Name | Ridder Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 604 E Boulevard Ste A, Kokomo, Indiana |
| Authorized Official Name and Position | Jaclyn Kristine Ridder (OWNER) |
| Authorized Official Contact | 3174181342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridder Dental Llc 6706 June Rose Ct Noblesville IN 46062-9512 Ph: (317) 418-1342 | Ridder Dental Llc 604 E Boulevard Ste A Kokomo IN 46902-2286 Ph: (765) 864-2325 |
| NPI Number | 1760113534 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760113534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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