| NPI | 1669035770 |
|---|---|
| Doing Business As | RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | CREED CARDON Owner 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-02-18 |