| NPI | 1508187758 |
|---|---|
| Doing Business As | ROCK RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRAVIS D SHOWALTER President 920-563-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |