NPI | 1942310677 |
---|---|
Doing Business As | RIVERSIDE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DON MA Director Of Operations 951-689-5031 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 29721) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |