| NPI | 1942394721 |
|---|---|
| Doing Business As | RIVERSIDE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | CARLOS G COMPEAN Owner Dds 951-784-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29127) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49152) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50080) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |