| NPI | 1508628751 |
|---|---|
| Doing Business As | EAST RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYON ROBERT RECKLING Owner, Dentist 605-373-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-03-06 |