NPI | 1649564519 |
---|---|
Doing Business As | RIVER CITY DENTAL |
Entity Type | Organization |
Authorized Contact | JEREMY SCOTT SORHUS Dentist/Owner 907-335-0363 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-09-27 |