| NPI | 1275384216 |
|---|---|
| Doing Business As | RIVER SQUARE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GEHAN RAGAIE GIRGIS Owner 248-650-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |