| NPI | 1376522714 |
|---|---|
| Doing Business As | RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA K CHRISTENSEN Business Manager 605-331-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: SD NO #) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-02-20 |