NPI | 1063154060 |
---|---|
Doing Business As | RIVER ROCK DENTAL |
Entity Type | Organization |
Authorized Contact | NEIL MANCZAK Owner 734-243-6282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-04-11 |