| NPI | 1326440421 |
|---|---|
| Doing Business As | RIVERSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES K BAGWELL President 864-877-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3413) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |