NPI | 1336603273 |
---|---|
Doing Business As | RIVER ROCK DENTAL |
Entity Type | Organization |
Authorized Contact | FAITH GASKINS Director Of Credentialing 630-877-3520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-01-24 |
Last Update Date | 2023-04-26 |