NPI | 1649619321 |
---|---|
Doing Business As | RIVERBEND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BENJAMIN G. BURRIS Doctor 870-972-8294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3465) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |