Individual
DR. JEROME JOHN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6345 E BELL RD, SUITE #2, SCOTTSDALE, AZ 85254-6452
(480) 991-4410
(480) 948-0982
Mailing address
6345 E BELL RD, SUITE #2, SCOTTSDALE, AZ 85254-6452
(480) 991-4410
(480) 948-0982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4217
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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