NPI | 1952086845 |
---|---|
Doing Business As | RIVERSTONE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CHARLOTTE DASCH Director Of Credentialing & Prov Re 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-06-19 |