Individual
DR. DAREK KEVIN RIDPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2408 MAIN ST, CHOCTAW, OK 73020-6666
(405) 390-8101
Mailing address
PO BOX 859, CHOCTAW, OK 73020-0859
(405) 390-8101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5795
OK
Other
Enumeration date
12/02/2005
Last updated
05/28/2009
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