Organization
RIDDER DENTAL LLC
Active
Other names
Kokomo Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN KRISTINE RIDDER DDS (OWNER)
(317) 418-1342
Entity
Organization
Contact information
Practice address
604 E BOULEVARD STE A, KOKOMO, IN 46902-2286
(765) 864-2325
Mailing address
6706 JUNE ROSE CT, NOBLESVILLE, IN 46062-9512
(317) 418-1342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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