Organization
RIVERSIDE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLANCHARD (DENTIST/OWNER)
(608) 712-6500
Entity
Organization
Contact information
Practice address
N84W15865 APPLETON AVE, MENOMONEE FALLS, WI 53051-3087
(262) 251-6980
(262) 735-4823
Mailing address
N84W15865 APPLETON AVE, MENOMONEE FALLS, WI 53051-3087
(262) 251-6980
(262) 735-4823
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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