| NPI | 1073774113 |
|---|---|
| Doing Business As | RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CARL ALDRIDGE Managing Dentist 360-566-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010531) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |