| NPI | 1083907539 |
|---|---|
| Doing Business As | RIVERSTONE ORAL & DENTAL IMPLANT SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER WEAVER Owner 614-568-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OH 30022509) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-08-21 |