Individual
MR. JOSEPH RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
1523 NW CANAL BLVD STE 101, REDMOND, OR 97756-1340
(541) 316-8791
Mailing address
1523 NW CANAL BLVD STE 101, REDMOND, OR 97756-1340
(541) 316-8791
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10171882
OR
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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