Walter Randy Ridgway D.D.S.

NPI 1508967415 - Dentist - 122300000X

NPI Details
NPI 1508967415
Gender Male
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
302 NORTH HUGHES STREET
HUNTSVILLE AR, 72740-0605, US
Phone (479) 738-6920
Fax (479) 738-2957
Business Location
P.O. BOX 605
HUNTSVILLE AR, 72740-0605, US
Phone (479) 738-6920
Fax (479) 738-2957
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 2412
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According to our database, Dr. Walter Randy Ridgway D.D.S. NPI is 1508967415, taxonomy code is 122300000X and license number is 2412, license state is located at Arkansas. Walter Randy Ridgway D.D.S. physically located at 302 North Hughes Street, Huntsville AR, 72740-0605. NPI Number Walter Randy Ridgway D.D.S. has the Individual type.

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1508967415 NPI number is provided on an as is basis without warranty of any kind. 1508967415 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Randy Ridgway D.D.S. are for informational purposes only.