Organization
EAST RIVER ROAD DENTAL LLC
Active
Other names
Riverside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING MANAGER)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1640 E RIVER RD STE 112, TUCSON, AZ 85718-7645
(520) 299-4470
Mailing address
1640 E RIVER RD STE 112, TUCSON, AZ 85718-7645
(520) 299-4470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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