# EAST RIVER RP HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Havens-Jenkins Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457956781
- **Authorized official:** DR. JOHN ANDREW HAVENS DDS (GENERAL PARTNER)
- **Authorized official phone:** (716) 830-2314

## Contact information

- **Practice address:** 1348 E RIVER RD, GRAND ISLAND, NY 14072-2743
- **Practice address phone:** (716) 773-7682
- **Mailing address:** 1348 E RIVER RD, GRAND ISLAND, NY 14072-2743
- **Mailing address phone:** (716) 773-7682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 12/03/2020