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Organization
RIVERBEND DENTAL LLC
Active
Organization
RIVERBEND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY E DARR (COMPANY PRESIDENT)
(618) 692-1110
Entity
Organization
Contact information
Practice address
215 E CENTER DRIVE, SUITE E, ALTON, IL 62002
(618) 462-3330
(618) 462-3330
Mailing address
1922 EDWARDSVILLE CLUB PLAZA, EDWARDSVILLE, IL 62025
(888) 502-7339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025281
IL
Other
Enumeration date
04/04/2011
Last updated
05/05/2021
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