| NPI | 1568509214 |
|---|---|
| Doing Business As | DBA RIDGEWOOD DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY L. RAY Office Manager 219-947-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 8655) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |