| NPI | 1962918862 |
|---|---|
| Doing Business As | RIVERBANK MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAULIK MAHENDRABHAI SHAH President 209-247-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2023-01-19 |