| NPI | 1912302704 |
|---|---|
| Doing Business As | RIVERSTONE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEANN LE Corporate Accounting Manager 281-261-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |