NPI | 1184320954 |
---|---|
Doing Business As | RIVER DISTRICT SMILES |
Entity Type | Organization |
Authorized Contact | MELISSA L FERGUSON Office Manager 803-590-9525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |