| NPI | 1316547524 |
|---|---|
| Doing Business As | RIVERBEND FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREK JEFFREY INGERSOLL Manager 919-656-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |