| NPI | 1194539577 |
|---|---|
| Doing Business As | RIVER ROCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRENT MARTIN Owner/Dentist 509-314-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |