Individual
NANCY RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7511
Mailing address
2953 BANYAN HILL LN, LAND O LAKES, FL 34639-6786
(813) 972-7511
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 17365
FL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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