Individual
DR. ALAN B. RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BOX 1448, 223 MINNESOTA AVE., PAONIA, CO 81428
(970) 527-3757
(970) 527-4029
Mailing address
PO BOX 1448, 223 MINNESOTA AVE., PAONIA, CO 81428-1448
(970) 527-3757
(970) 527-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H-D-104700
CO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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