The River's Edge Dental
NPI #1265085567 in Coolidge, Arizona
Provider Information
- NPI Number
- 1265085567
- Entity Type
- Organization
- Organization Name
- The River's Edge Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Jul 17, 2019
Practice Location
Authorized Official
- Name
- MARVIN BLANE JACKSON, DDS
- Title
- OWNER / DENTIST
- Phone
- (435) 637-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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