NPI | 1063872968 |
---|---|
Doing Business As | RIVERWALK DENTAL |
Entity Type | Organization |
Authorized Contact | RANDALL C MATHEWS Owner 740-592-1483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.015779) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |