| NPI | 1194774109 |
|---|---|
| Doing Business As | RIVER VALLEY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN F NIELSEN Half Owner 208-357-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |