Organization
JAISANVI PA
Active
Other names
Riverwalk Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAL CHOKSHI DMD (OWNER)
(561) 703-0219
Entity
Organization
Contact information
Practice address
308 NW BETHANY DR, PORT ST LUCIE, FL 34986-3578
(772) 247-6750
(561) 250-8292
Mailing address
308 NW BETHANY DR, PORT ST LUCIE, FL 34986-3578
(561) 744-3646
(561) 748-5123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
12/16/2020
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