Organization
RIDDLE DENTAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MANN (MANAGER)
(541) 874-3126
Entity
Organization
Contact information
Practice address
150 S MAIN ST, RIDDLE, OR 97457
(541) 874-3126
Mailing address
PO BOX 107, RIDDLE, OR 97469-0107
(541) 874-3126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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