| NPI | 1114593613 |
|---|---|
| Doing Business As | RIVER VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS D Irector Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |