Riverside Dentistry Pllc

NPI #1518682541 in Lowell, Michigan

Provider Information

NPI Number: 1518682541
Entity Type: Organization
Organization Name: Riverside Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 12, 2022
Last Updated: Nov 13, 2022

Practice Location

Address: 207 W MAIN ST
City: Lowell
State: Michigan
ZIP Code: 49331-1607
Phone: (616) 897-7179

Authorized Official

Name: MIN SUK HAN, DDS
Title: OWNER
Phone: (734) 730-2963

Specialties & Taxonomy Codes

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

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