| NPI | 1326764077 |
|---|---|
| Doing Business As | KRIDER DENTAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HEIDI KRIDER Dentist/ Owner 260-625-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |