| NPI | 1922279892 |
|---|---|
| Other Name | RIVER CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANNE L. EVANS Manager 208-853-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3586) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |