RIVERSIDE FAMILY DENTAL, LLC

RIVERSIDE, RI
NPI1558846725
Entity TypeOrganization
Authorized ContactMARDY COSTA
Administrator
508-728-5019
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
RIVERSIDE FAMILY DENTAL, LLC
1445 WAMPANOAG TRL UNIT 209
RIVERSIDE, RI 02915-1019
Phone number: 401-433-2400
Mailing Address
RIVERSIDE FAMILY DENTAL, LLC
1445 WAMPANOAG TRL UNIT 209
RIVERSIDE, RI 02915-1019
Phone number: 401-433-2400