| NPI | 1609179811 |
|---|---|
| Doing Business As | RIVERWALK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAHA BLAIBEL-SHAHSHOUH President 847-818-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027080) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-15 |