Organization
RIVERSIDE DENTAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA YANOVIAK DMD (MANAGING MEMBER/OWNER)
(267) 428-1520
Entity
Organization
Contact information
Practice address
9402 N US HIGHWAY 1, SEBASTIAN, FL 32958-6398
(772) 589-1140
Mailing address
422 KUMQUAT AVE, SEBASTIAN, FL 32958-4032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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