Individual
ALISON RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(866) 626-2878
Mailing address
449 FORDER RD, SAINT LOUIS, MO 63129-2639
(618) 719-7163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024024460
MO
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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