Two Rivers Pediatric Dentistry, L.l.c.

NPI #1649592353 in Moline, Illinois

Provider Information

NPI Number: 1649592353
Entity Type: Organization
Organization Name: Two Rivers Pediatric Dentistry, L.l.c.
Primary Specialty: Dentist
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 1872 AVENUE OF THE CITIES
City: Moline
State: Illinois
ZIP Code: 61265
Phone: (309) 797-3020

Authorized Official

Name: DR. BRIAN J RICHARDS, D.D.S.
Title: DENTIST
Phone: (309) 797-3020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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