| NPI | 1649391392 |
|---|---|
| Doing Business As | RIVERSIDE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KHA D LE President, CEO 951-781-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42351) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-07-13 |