| NPI | 1013488931 |
|---|---|
| Doing Business As | SECRET RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | OFFICE MANAGER Secretary 916-428-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-01-29 |