Riverside Dental Services Incorporated

NPI #1841690047 in Watertown, Wisconsin

Provider Information

NPI Number: 1841690047
Entity Type: Organization
Organization Name: Riverside Dental Services Incorporated
Primary Specialty: Dentist
Enumeration Date: Aug 26, 2014
Last Updated: Aug 26, 2014

Practice Location

Address: 1521 DOCTORS CT
City: Watertown
State: Wisconsin
ZIP Code: 53094-4101
Phone: (920) 262-2176

Authorized Official

Name: DAVID C MEADE, DDS
Title: PRESIDENT
Phone: (920) 262-2176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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