| NPI | 1164762159 |
|---|---|
| Doing Business As | RIVERSIDE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | PARUL U MEHTA President 909-539-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49146) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |