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1851304133
DAVID ERWIN RIDDICK
BERRYVILLE, AR
NPI
1851304133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 3264)
Enumeration Date
2006-08-15
Last Update Date
2007-07-09
Business Address
Dr. DAVID ERWIN RIDDICK Dentist
801 W TRIMBLE AVE
BERRYVILLE, AR 72616-5101
Phone number: 870-423-3832
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Mailing Address
Dr. DAVID ERWIN RIDDICK Dentist
PO BOX 365
BERRYVILLE, AR 72616-0365
Phone number: 870-423-3832
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