Individual
DR. RICHARD DAVID RITTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Mailing address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1875G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1875G
STATE LICENSE
WI
Enumeration date
09/10/2007
Last updated
09/10/2007
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