Organization
RIVER ROCK ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CHARLES SWIGERT DDS (OWNER)
(928) 201-7786
Entity
Organization
Contact information
Practice address
1467 PALMA RD STE 1, BULLHEAD CITY, AZ 86442-6785
(928) 754-2198
Mailing address
1467 PALMA RD STE 1, BULLHEAD CITY, AZ 86442-6785
(928) 763-1203
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D008956
AZ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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