| NPI | 1205533064 |
|---|---|
| Doing Business As | RIVERVIEW MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH PHAM Owner 813-367-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-04-13 |