Individual
MS. CYNTHIA A RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2545 SPRING ARBOR RD., SUITE 202, JACKSON, MI 49203
(517) 783-3130
(517) 783-3140
Mailing address
2545 SPRING ARBOR RD., SUITE 202, JACKSON, MI 49203
(517) 783-3130
(517) 783-3140
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901016809
DELTA DENTAL
MI
01
—
5386062
BCBS
MI
Enumeration date
10/04/2006
Last updated
07/08/2007
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