Individual
SHELLEY MAE RIDENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
6649 N HIGH ST, SUITE 101, WORTHINGTON, OH 43085-4070
(614) 846-3636
(614) 846-3656
Mailing address
398 HIGHGATE AVENUE, WORTHINGTON, OH 43085
(614) 888-1893
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30019139
OH
Other
Enumeration date
05/22/2007
Last updated
09/23/2013
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