| NPI | 1164510004 |
|---|---|
| Former Legal Business Name | RIVERSIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HON VAN CAO President 951-684-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA CA38655) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |