Organization
MICHAEL RIDLEHOOVER DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RIDLEHOOVER DMD (OWNER)
(706) 814-8492
Entity
Organization
Contact information
Practice address
2926 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6530
(706) 814-8492
Mailing address
408 PARK WAY DRIVE, MARTINEZ, GA 30907-1565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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