| NPI | 1134356140 |
|---|---|
| Doing Business As | RIVERWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN D BELL Manager 208-522-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |