| NPI | 1255937686 |
|---|---|
| Doing Business As | RIVER CITY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW WEAVER Administrator 904-395-7772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-08-26 |