| NPI | 1083093504 |
|---|---|
| Doing Business As | RIVER ROCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MCKAY D BARLOW President 208-737-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3759) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |