NPI | 1932805363 |
---|---|
Doing Business As | THREE RIVERS DENTAL |
Entity Type | Organization |
Authorized Contact | JARED DOMAN Owner 360-601-9454 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-02-07 |