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Individual

DR. JAMES WAYNE RIDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
208 NOPAL ST, FLORENCE, OR 97439-9660
(541) 997-6226
(541) 997-6226
Mailing address
208 NOPAL ST, FLORENCE, OR 97439-9660
(541) 997-6226
(541) 997-4472

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8039
OR
1223G0001X
General Practice Dentistry
D8039
OR

Other

Enumeration date
04/08/2008
Last updated
10/26/2022
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