NPI | 1518457266 |
---|---|
Doing Business As | RIVER PARK DENTAL |
Entity Type | Organization |
Authorized Contact | NIAZ AHMED Dentist Owner 860-785-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 11723) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-05-17 |