Individual
DR. RUFUS PAUL RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 MARKET TRCE, FORT SMITH, AR 72908-8681
(479) 651-8298
Mailing address
16400 HOOVER LN, SAINT ROBERT, MO 65584-4919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018017970
MO
Other
Enumeration date
06/04/2018
Last updated
10/04/2021
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