Organization · Type 2 NPI
Riverside Dental Investments LLC
Clinic/Center · Poplar Grove, IL
NPI number
1386217164
Active
Practice location
13510 Julie Dr
Poplar Grove, IL 61065-7829
Fax (815) 765-9901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1386217164
Riverside Dental Investments LLC's National Provider Identifier is 1386217164, issued on Jul 20, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Poplar Grove, IL. The record was last updated on Jul 20, 2021.