Riveroak Dental 1 LLC

NPI #1477099075 in Mesa, Arizona

Provider Information

NPI Number: 1477099075
Entity Type: Organization
Organization Name: Riveroak Dental 1 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2017
Last Updated: Mar 27, 2017

Practice Location

Address: 1010 W UNIVERSITY DR STE 2
City: Mesa
State: Arizona
ZIP Code: 85201-5500
Phone: (480) 833-1040

Authorized Official

Name: JOVANNA R OAKLIEF
Title: OWNER
Phone: (818) 795-8601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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