| NPI | 1356588701 |
|---|---|
| Doing Business As | RIVERSIDE FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | WALTER R PFITZINGER Owner 877-394-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015466) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2008006645) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |