| NPI | 1881354249 |
|---|---|
| Doing Business As | RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LARRY TODD HILBURN Doctor/Owner 318-340-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |