NPI | 1881989101 |
---|---|
Doing Business As | RIVERVIEW COSMETIC & RESTORATIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | GRACE I. BURNS Office Manager 772-692-6996 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12691) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN15706) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |