Individual
DR. KURTIS RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16000 PROSPERITY DR, NOBLESVILLE, IN 46060-4321
(317) 565-1028
Mailing address
16000 PROSPERITY DR, NOBLESVILLE, IN 46060-4321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012314A
IN
Other
Enumeration date
05/06/2015
Last updated
05/28/2015
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