| NPI | 1275636615 |
|---|---|
| Other Name | RIVER VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TOM L POOLEY Dentist Owner 507-388-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D12049) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-07-30 |