| NPI | 1497184675 |
|---|---|
| Former Legal Business Name | RIVERSIDE DENTAL & HEALTHCARE MANAGEMENT INCORPORATION |
| Entity Type | Organization |
| Authorized Contact | RAJUL M SHAH President 951-300-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D50823) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-12-19 |