| NPI | 1649817719 |
|---|---|
| Doing Business As | RIDLEY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN KLINKNER President 917-523-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2019-12-07 |