| 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 |