Individual
TERRY RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7111 PROSPECT PL NE, SUITE B, ALBUQUERQUE, NM 87110-4309
(505) 292-6168
Mailing address
7710 GLADDEN AVE NE, ALBUQUERQUE, NM 87110-1570
(505) 332-4771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1451
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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