NPI | 1144717299 |
---|---|
Doing Business As | RIVERBEND FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CARLEY ODENS Owner 701-370-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN D13542) |
Enumeration Date | 2018-04-14 |
Last Update Date | 2020-11-19 |