NPI | 1699476010 |
---|---|
Doing Business As | RIVER VISTA DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES MARSHALL Owner / Dentist 980-224-7192 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-03-13 |