Riverside Dental Care LLC
NPI #1104603513 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1104603513
- Entity Type
- Organization
- Organization Name
- Riverside Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2023
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 1805 E MAIN ST
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140-2455
- Phone
- (303) 994-1456
Authorized Official
- Name
- ELESE MCCLARIE, DMD
- Title
- DENTIST
- Phone
- (303) 994-1456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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