Individual
STEPHEN J RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
788 OAKLEAF WAY, ALTOONA, WI 54720
(715) 834-8414
(715) 834-3557
Mailing address
PO BOX 1224, EAU CLAIRE, WI 54702-1224
(715) 834-8414
(715) 834-3557
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001741
WI
Other
Enumeration date
02/07/2014
Last updated
02/03/2021
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