Organization
RIVERSIDE FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA ELANN SWANTON D.D.S. (CEO DENTIST OWNER)
(989) 739-5255
Entity
Organization
Contact information
Practice address
4460 F 41, OSCODA, MI 48750-9603
(989) 739-5255
(989) 739-1662
Mailing address
4460 F 41, OSCODA, MI 48750-9603
(989) 739-5255
(989) 739-1662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017272
MI
Other
Enumeration date
06/19/2006
Last updated
01/17/2008
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