Organization
MICHAEL J. RIEDER DMD, PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RIEDER DMD (PRESIDENT)
(805) 494-1977
Entity
Organization
Contact information
Practice address
1423 KINGSBORO CT, THOUSAND OAKS, CA 91362
(805) 494-1977
Mailing address
1423 KINGSBORO CT, THOUSAND OAKS, CA 91362
(805) 494-1977
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23661
CA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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