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1063848406
BRENT RIDDER, MD,INC.
LAGUNA HILLS, CA
NPI
1063848406
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Entity Type
Organization
Authorized Contact
BRENT W RIDDER
President
949-206-4633
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
BRENT RIDDER, MD,INC.
23961 CALLE DE LA MAGDALENA #115
LAGUNA HILLS, CA 92653-3616
Phone number: 949-206-4633
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Mailing Address
BRENT RIDDER, MD,INC.
23961 CALLE DE LA MAGDALENA #115
LAGUNA HILLS, CA 92653-3616
Phone number: 949-206-4633
Copy
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