NPI | 1356902639 |
---|---|
Doing Business As | RIVERBEND ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | CHARLES B FELTS Doctor/Owner 423-541-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-06-26 |