Organization
LD RIGGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DOUG RIGGS D.D.S (DENTIST)
(405) 354-1861
Entity
Organization
Contact information
Practice address
1025 E VANDAMENT AVE, 300, YUKON, OK 73099-4910
(405) 354-1861
Mailing address
1025 E VANDAMENT AVE, 300, YUKON, OK 73099-4910
(405) 354-1861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5724
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036020B
—
OK
Enumeration date
12/11/2012
Last updated
12/11/2012
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