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Individual

DR. ANDREW LAWRENCE RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
710 E FOOTHILLS DR STE 710A, NEWBERG, OR 97132-6124
(503) 379-0574
Mailing address
18051 SW LOWER BOONES FERRY RD APT 215, TIGARD, OR 97224-7275
(801) 707-4012

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12054
OR

Other

Enumeration date
07/23/2024
Last updated
07/25/2024
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