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Organization

RIDDLE DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB BROOKS RIDDLE (OWNER/DENTIST)
(901) 487-7622
Entity
Organization

Contact information

Practice address
5366 ESTATE OFFICE DR STE 2, MEMPHIS, TN 38119-0611
(901) 682-1501
(901) 682-1582
Mailing address
5366 ESTATE OFFICE DR STE 2, MEMPHIS, TN 38119-0611
(901) 682-1501
(901) 682-1582

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/14/2023
Last updated
03/14/2023
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