My Rivertown Dentist LLC

NPI #1477176253 in Madison, Indiana

Provider Information

NPI Number
1477176253
Entity Type
Organization
Organization Name
My Rivertown Dentist LLC
Primary Specialty
Dentist
Enumeration Date
May 27, 2020
Last Updated
Jul 8, 2020

Practice Location

Address
2513 MICHIGAN RD
State
Indiana
ZIP Code
47250-2422
Phone
(812) 273-2388

Authorized Official

Name
ASHLEY LEE
Title
OWNER
Phone
(812) 273-2388

Specialties & Taxonomy Codes

Specialty
Dentist

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