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 |