Organization
RIVERWALK DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN GAPSON DDS (DENTIST PRESIDENT)
(414) 271-1770
Entity
Organization
Contact information
Practice address
735 N WATER STREET, SUITE 826, MILWAUKEE, WI 53202-4104
(414) 271-1770
(414) 271-1746
Mailing address
735 N WATER STREET, SUITE 826, MILWAUKEE, WI 53202-4104
(414) 271-1770
(414) 271-1746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5000468015
WI
1223G0001X
General Practice Dentistry
Primary
WI3500015
WI
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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