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Organization
JACLYN RIDDER DDS, LLC
Active
Organization
JACLYN RIDDER DDS, LLC
Active
Other names
Cumberland Pointe Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN KRISTINE RIDDER DDS (DENTIST)
(317) 418-1342
Entity
Organization
Contact information
Practice address
15887 CUMBERLAND RD STE 104, NOBLESVILLE, IN 46060-4332
(317) 770-4783
Mailing address
15540 BRACKENWOOD CT, NOBLESVILLE, IN 46062-6704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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