Organization
RIVER PLACE DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLLYN PAUL LEE D.D.S. (OWNER)
(715) 268-2103
Entity
Organization
Contact information
Practice address
1030 RIVER PLACE DRIVE, AMERY, WI 54001
(715) 268-2103
(715) 268-7729
Mailing address
PO BOX 106, AMERY, WI 54001-0106
(715) 268-2103
(715) 268-7729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
07/07/2011
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