| NPI | 1104652775 |
|---|---|
| Doing Business As | RIVERSIDE SMILES |
| Entity Type | Organization |
| Authorized Contact | HETA S JASANI Owner 301-744-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |