| NPI | 1720159510 |
|---|---|
| Doing Business As | RIVERVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | CALE SLACK President 605-339-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD M408) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |