Organization
RIDDER ORTHODONTICS OF FORT WORTH PC
Active
Other names
Ridder Orthodontics PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ROBERT RIDDER DDS, MS (OWNER)
(817) 741-0484
Entity
Organization
Contact information
Practice address
12453 TIMBERLAND BLVD, SUITE 101, KELLER, TX 76248
(817) 741-0484
Mailing address
12717 CREAMELLO AVE, KELLER, TX 76248-1160
(817) 741-0484
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/26/2007
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