Individual
DR. SUSAN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D.
Contact information
Practice address
120 CROSS RD, BASKING RIDGE, NJ 07920-1502
(908) 766-2060
Mailing address
120 CROSS RD, BASKING RIDGE, NJ 07920-1502
(908) 766-2060
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI101674400
NJ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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