# RIDGEFIELD DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457173007
- **Authorized official:** KEVIN J SMITH DDS (OWNER)
- **Authorized official phone:** (402) 203-8776

## Contact information

- **Practice address:** 4312 S SETTLER DR STE 200, RIDGEFIELD, WA 98642-4532
- **Practice address phone:** (402) 203-8776
- **Mailing address:** 5200 NE 259TH CIR, RIDGEFIELD, WA 98642-4803
- **Mailing address phone:** (402) 203-8776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2024
- **Last updated:** 10/25/2024