Individual
RYAN HEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
404 1/2 S LAUREL ST, RICHMOND, VA 23220-6233
(970) 214-9412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34529
TX
1223G0001X
General Practice Dentistry
Primary
0401417830
VA
1223G0001X
General Practice Dentistry
34529
TX
Other
Enumeration date
08/16/2018
Last updated
06/28/2022
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