NPI | 1346744232 |
---|---|
Doing Business As | RIVER DENTAL FAYETTEVILLE |
Entity Type | Organization |
Authorized Contact | RENEE MCBAY Credentialing Specialist 918-998-0996 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-06-16 |