| NPI | 1437756905 |
|---|---|
| Doing Business As | EAST RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYON RECKLING Owner 605-373-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-03-06 |