| NPI | 1770137655 |
|---|---|
| Doing Business As | RIVERROCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARISSA SMITH Office Manager 952-445-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |