| NPI | 1174235840 |
|---|---|
| Doing Business As | RIDGEVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARIE ROMERO Credentialing Specialist 303-321-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |