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Individual

RICHARD E RIDGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
777 WELCH RD STE H, PALO ALTO, CA 94304-1602
(650) 326-7257
(650) 326-2461
Mailing address
777 WELCH RD STE H, PALO ALTO, CA 94304-1602
(650) 326-7257
(650) 326-2461

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23371
CA

Other

Enumeration date
03/13/2009
Last updated
03/13/2009
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