| NPI | 1316213762 |
|---|---|
| Doing Business As | RIVER ROCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACKSON BOOTH Owner 512-739-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23496) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |