| NPI | 1407603327 |
|---|---|
| Doing Business As | GREEN RIVER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RODOLFO JETURIAN Chief Financial Officer 714-609-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |