NPI | 1912312190 |
---|---|
Doing Business As | RIVERVIEW DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JASON J PEACOCK Dentist/Owner 603-228-1066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NH 03968) |
Additional Taxonomies | 122300000X Dentist (Licence: NH 03968) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |