| NPI | 1487220877 |
|---|---|
| Doing Business As | RIDER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CASSADY RIDER Owner 712-225-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |