| Riverside Dental | |
|
9402 N Us Highway 1 Sebastian FL 32958-6398 | |
| (772) 589-1140 | |
| Not Available |
| Full Name | Riverside Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9402 N Us Highway 1, Sebastian, Florida |
| Authorized Official Name and Position | Louis R Roque (DENTIST) |
| Authorized Official Contact | 7725891140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental 9402 N Us Highway 1 Sebastian FL 32958-6398 Ph: (772) 589-1140 | Riverside Dental 9402 N Us Highway 1 Sebastian FL 32958-6398 Ph: (772) 589-1140 |
| NPI Number | 1306031281 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306031281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 12242 (Florida) | Primary |
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