| NPI | 1760900120 |
|---|---|
| Doing Business As | RIDER ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN RIDER Doctor 517-783-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |