NPI | 1316362163 |
---|---|
Doing Business As | RIVER CITY DENTAL |
Entity Type | Organization |
Authorized Contact | LEAH KATHLEEN LOVETT President/Owner 904-683-7079 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN17552) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2014-03-03 |