East River Rp Holdings LLC
NPI #1457956781 in Grand Island, New York
Provider Information
- NPI Number
- 1457956781
- Entity Type
- Organization
- Organization Name
- East River Rp Holdings LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 3, 2020
- Last Updated
- Dec 3, 2020
Practice Location
- Address
- 1348 E RIVER RD
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072-2743
- Phone
- (716) 773-7682
Authorized Official
- Name
- DR. JOHN ANDREW HAVENS, DDS
- Title
- GENERAL PARTNER
- Phone
- (716) 830-2314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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