Individual
DR. DONIVAN LEONARD RIDGWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6329 ORAM ST, DALLAS, TX 75214-3931
(214) 823-1638
(214) 823-1169
Mailing address
6329 ORAM ST, DALLAS, TX 75214-3931
(214) 823-1638
(214) 823-1169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10075
TX
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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