Individual
SUSAN BELINDA RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8160
(707) 465-4636
(707) 387-9808
Mailing address
110 MARIAN WAY, PISMO BEACH, CA 93449-3225
(310) 738-8519
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17892
CA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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