NPI | 1841406907 |
---|---|
Doing Business As | RIVERSIDE WEST DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NINA TRUONG-KIM Regional Manager 951-377-2278 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39026) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |