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Individual

DR. RICHARD V. RITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6209
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(803) 751-6209

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
019-019104
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019-019104
ILLINOIS DENTAL LICENSE
IL
01
DNF000423
GEORGIA FACULTY LICENSE
GA
Enumeration date
05/04/2006
Last updated
07/31/2019
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