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Organization
RIDDER DENTAL LLC
Active
Organization
RIDDER DENTAL LLC
Active
Other names
Kokomo Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN KRISTINE RIDDER DDS (OWNER)
(317) 418-1342
Entity
Organization
Contact information
Practice address
604 E BOULEVARD STE A, KOKOMO, IN 46902-2286
(765) 864-2325
Mailing address
6706 JUNE ROSE CT, NOBLESVILLE, IN 46062-9512
(317) 418-1342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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