| NPI | 1184874026 |
|---|---|
| Doing Business As | SOUTH RIVER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMARDEEP GILL Owner 916-372-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2013-11-12 |