Organization
JACLYN RIDDER DDS, LLC
Active
Other names
Cumberland Pointe Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN KRISTINE RIDDER DDS (DENTIST)
(317) 418-1342
Entity
Organization
Contact information
Practice address
15887 CUMBERLAND RD STE 104, NOBLESVILLE, IN 46060-4332
(317) 770-4783
Mailing address
15540 BRACKENWOOD CT, NOBLESVILLE, IN 46062-6704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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