| NPI | 1972052322 |
|---|---|
| Doing Business As | RIVERWALK DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | TRUC TRUNG MAI Dentist 951-353-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44934) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44933) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |