| NPI | 1457873895 |
|---|---|
| Doing Business As | RIVERDALE DENTAL |
| Entity Type | Organization |
| Authorized Contact | VIJAY GADDAM Owner 419-450-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-08-01 |