Organization
RIVERSIDE DENTAL SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MEADE DDS (PRESIDENT)
(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
(920) 262-2131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3399
WI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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