| River Place Dental, Inc | |
|
1030 River Place Drive Amery WI 54001 | |
| (715) 268-2103 | |
| (715) 268-7729 |
| Full Name | River Place Dental, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1030 River Place Drive, Amery, Wisconsin |
| Authorized Official Name and Position | Rollyn Paul Lee (OWNER) |
| Authorized Official Contact | 7152682103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Place Dental, Inc Po Box 106 Amery WI 54001-0106 Ph: (715) 268-2103 | River Place Dental, Inc 1030 River Place Drive Amery WI 54001 Ph: (715) 268-2103 |
| NPI Number | 1215177555 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215177555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 9 days ago
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