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1316779432
JACOB RIDER DDS LLC
VENTURA, CA
NPI
1316779432
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Entity Type
Organization
Authorized Contact
JACOB RIDER
Owner Dentist
317-457-0338
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
JACOB RIDER DDS LLC
2437 HARBOR BLVD
VENTURA, CA 93001-3904
Phone number: 805-804-5590
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Mailing Address
JACOB RIDER DDS LLC
702 CEDAR PL
VENTURA, CA 93001-1920
Phone number: 317-457-0338
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