| NPI | 1699588178 |
|---|---|
| Doing Business As | RIVERSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHIN PARK Dentist/Owner 770-879-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-06-18 |