Riverside Family Dental
NPI #1417721531 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1417721531
- Entity Type
- Organization
- Organization Name
- Riverside Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 9, 2023
- Last Updated
- Nov 9, 2023
Practice Location
- Address
- N84W15865 APPLETON AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-3087
- Phone
- (262) 251-6980
Authorized Official
- Name
- DAVID BLANCHARD
- Title
- DENTIST/OWNER
- Phone
- (608) 712-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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