Organization
RIVERHEART FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS SCHWARZ D.M.D. (OWNER/DENTIST)
(618) 830-0958
Entity
Organization
Contact information
Practice address
8618 MEXICO RD, O FALLON, MO 63366-7507
(636) 205-4045
Mailing address
8618 MEXICO RD, O FALLON, MO 63366-7507
(636) 205-4045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2011030941
MO
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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