| NPI | 1568833408 |
|---|---|
| Doing Business As | RIVERSIDE SMILES |
| Entity Type | Organization |
| Authorized Contact | THEODORE I GOLDBERG Dentist 401-434-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI CDEN03289) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |