| NPI | 1306486840 |
|---|---|
| Doing Business As | NEW RIVER DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JUSTIN NEIL TEBBENKAMP Member 540-838-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |