JACOB JOHN RIDL

CHENEY, WA
NPI1780814582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60093486)
Enumeration Date2009-07-15
Last Update Date2009-07-15
Business Address
-- JACOB JOHN RIDL D.D.S.
1717 1ST ST
CHENEY, WA 99004-1903
Phone number: 509-235-6241
Mailing Address
-- JACOB JOHN RIDL D.D.S.
1717 1ST ST
CHENEY, WA 99004-1903
Phone number: 509-235-6241