Organization
RIDDLE MODERN DENTISTRY & IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RIDDLE DDS (OWNER/DENTIST)
(479) 651-8298
Entity
Organization
Contact information
Practice address
2600 MARKET TRCE, FORT SMITH, AR 72908-8681
(479) 651-8298
Mailing address
10412 STONELEIGE ST, FORT SMITH, AR 72908-0740
(479) 651-8298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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