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Evan Ridge

NPI 1235597477 · on the registry since 2016 · sole proprietor

Practice

Address
1601 Walnut St Ste 1302
Philadelphia, PA 19102
Phone
(215) 568-6222
Organisation at this address
Zapster Llc
Klc Wellness
Ken Lin Dmd Pc
Amk Enterprises
Dental Artistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania