| NPI | 1295113165 |
|---|---|
| Doing Business As | RIVERSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNA NALLAPANENI Owner 586-468-0983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2016-09-29 |