River Rock Oral Surgery, Llc | |
1467 Palma Rd Ste 1 Bullhead City AZ 86442-6785 | |
(928) 754-2198 | |
Not Available |
Full Name | River Rock Oral Surgery, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1467 Palma Rd Ste 1, Bullhead City, Arizona |
Authorized Official Name and Position | Ryan Charles Swigert (OWNER) |
Authorized Official Contact | 9282017786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
River Rock Oral Surgery, Llc 1467 Palma Rd Ste 1 Bullhead City AZ 86442-6785 Ph: (928) 763-1203 | River Rock Oral Surgery, Llc 1467 Palma Rd Ste 1 Bullhead City AZ 86442-6785 Ph: (928) 754-2198 |
NPI Number | 1235530379 |
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Provider Enumeration Date | 09/09/2014 |
Last Update Date | 09/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235530379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D008956 (Arizona) | Primary |
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