Individual
DR. JAMES DEAN RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4394
(904) 232-2751
Mailing address
1833 BOULEVARD STREET, JACKSONVILLE VA OUTPATIENT CLINIC, JACKSONVILLE, FL 32206-4394
(904) 232-2751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31971
CA
Other
Enumeration date
01/25/2006
Last updated
10/19/2012
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