| Riverside Dental P.c. | |
|
1640 E River Rd Ste 112 Tucson AZ 85718-7645 | |
| (520) 299-4470 | |
| (520) 299-4475 |
| Full Name | Riverside Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1640 E River Rd Ste 112, Tucson, Arizona |
| Authorized Official Name and Position | Elizabeth La Madrid Ramirez (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5202994470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental P.c. 1640 E River Rd Ste 112 Tucson AZ 85718-7645 Ph: (520) 299-4470 | Riverside Dental P.c. 1640 E River Rd Ste 112 Tucson AZ 85718-7645 Ph: (520) 299-4470 |
| NPI Number | 1245419308 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5225 (Arizona) | Primary |
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