| NPI | 1245011634 |
|---|---|
| Doing Business As | COLOMBIA RIVER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CLARK BRINTON Owner 505-273-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |