| NPI | 1528389434 |
|---|---|
| Doing Business As | RIVERSIDE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALLEN E PATTERSON CFO 254-750-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |