| NPI | 1548892656 |
|---|---|
| Doing Business As | RIVERLAKE FAMILY DENTAL A DENTAL CORP OF CALVIN L GARLAND DDS |
| Entity Type | Organization |
| Authorized Contact | CALVIN LARRY GARLAND Owner 916-422-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |