| NPI | 1801218854 |
|---|---|
| Doing Business As | RIVER ROCK DENTAL - STASSNEY |
| Entity Type | Organization |
| Authorized Contact | JACKSON BOOTH Owner 512-739-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23496) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |