| NPI | 1841489150 |
|---|---|
| Former Legal Business Name | RIDDER ORTHODONTICS PC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ROBERT RIDDER Owner 817-741-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-26 |