| NPI | 1063240109 |
|---|---|
| Doing Business As | RIVER KIDS DENTAL |
| Doing Business As | RIVER KIDS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISTEN SELF Owner, Pediatric Dentist 337-654-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |