| NPI | 1891273835 |
|---|---|
| Doing Business As | RIVER DENTAL ROGERS |
| Entity Type | Organization |
| Authorized Contact | CREED CARDON Owner 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-02-01 |