| NPI | 1992664908 |
|---|---|
| Doing Business As | RIDGE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MADISON PORTER Chief Operating Officer 501-683-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-07-07 |