# RIVER OAKS FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Oaks Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104246438
- **Authorized official:** DR. CHRISTOPHER ELLIOT EDMONDSON D.D.S. (OWNER)
- **Authorized official phone:** (817) 738-4141

## Contact information

- **Practice address:** 901 ROBERTS CUTOFF RD, RIVER OAKS, TX 76114-2825
- **Practice address phone:** (817) 738-4141
- **Mailing address:** 901 ROBERTS CUTOFF RD, RIVER OAKS, TX 76114-2825
- **Mailing address phone:** (817) 738-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 19032 | TX | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 04/25/2014