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Organization
RIVERSIDE DENTISTRY, LLC
Active
Organization
RIVERSIDE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D RIGGINS D.M.D. (OWNER)
(309) 797-2001
Entity
Organization
Contact information
Practice address
609 22ND ST, MOLINE, IL 61265-1450
(309) 797-2001
(309) 764-8236
Mailing address
609 22ND ST, MOLINE, IL 61265-1450
(309) 797-2001
(309) 764-8236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019017034
IL
1223G0001X
General Practice Dentistry
Primary
019025287
IL
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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