Organization
RIDER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURTIS RIDER DMD (MANAGER)
(317) 201-3576
Entity
Organization
Contact information
Practice address
1305 W 86TH ST, INDIANAPOLIS, IN 46260-2481
(317) 259-1501
Mailing address
15884 VIKING LAIR RD, WESTFIELD, IN 46074-5526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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