| NPI | 1841465945 |
|---|---|
| Doing Business As | RIVERWALK DENTAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | RUBY E DACIO CFO 661-746-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |