NPI | 1356616825 |
---|---|
Doing Business As | RIVER ROCK DENTAL |
Entity Type | Organization |
Authorized Contact | JACKSON BOOTH Owner 512-739-9440 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23496) |
Enumeration Date | 2012-03-17 |
Last Update Date | 2012-03-17 |