NPI | 1376808394 |
---|---|
Doing Business As | RIVER VALLEY SMILE CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES G LIGGETT Partner/Owner 479-646-0706 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-07-05 |
Last Update Date | 2021-03-02 |