Organization
RIVERSIDE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CULLINGS MEADE DDS (OWNER/DENTIST)
(920) 262-2176
Entity
Organization
Contact information
Practice address
1521 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 262-2176
(920) 262-2131
Mailing address
1521 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 262-2176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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