| NPI | 1992279194 |
|---|---|
| Doing Business As | VERDE RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIEANA KESSEL Office Manager 928-639-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |