Organization
RIDGEFIELD DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J SMITH DDS (OWNER)
(402) 203-8776
Entity
Organization
Contact information
Practice address
4312 S SETTLER DR STE 200, RIDGEFIELD, WA 98642-4532
(402) 203-8776
Mailing address
5200 NE 259TH CIR, RIDGEFIELD, WA 98642-4803
(402) 203-8776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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