| Jacob J. Ridl DDS PLLC | |
|
1717 1st St P.o. Box A Cheney WA 99004-1903 | |
| (509) 235-6241 | |
| (509) 235-6218 |
| Full Name | Jacob J. Ridl DDS PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1717 1st St, Cheney, Washington |
| Authorized Official Name and Position | Jacob J. Ridl (DENTIST) |
| Authorized Official Contact | 5092356241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob J. Ridl DDS PLLC 1717 1st St P.o. Box A Cheney WA 99004-1903 Ph: (509) 235-6241 | Jacob J. Ridl DDS PLLC 1717 1st St P.o. Box A Cheney WA 99004-1903 Ph: (509) 235-6241 |
| NPI Number | 1790239457 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790239457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60093486 (Washington) | Primary |
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