RIVERSIDE PRACTICE, LLC

AUSTIN, TX
NPI1679062020
Entity TypeOrganization
Authorized ContactASHA PATEL
President
225-802-9534
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2018-05-01
Last Update Date2023-03-24
Business Address
RIVERSIDE PRACTICE, LLC
2410 E RIVERSIDE DR STE H12
AUSTIN, TX 78741-3054
Phone number: 512-442-1224
Mailing Address
RIVERSIDE PRACTICE, LLC
12613 SCOFIELD FARMS DR
AUSTIN, TX 78727-4542
Phone number: 225-802-9534
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