| River Club Dental Care | |
|
10861 Tidewater Trl Fredericksburg VA 22408-2048 | |
| (540) 371-7684 | |
| (540) 371-7686 |
| Full Name | River Club Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 10861 Tidewater Trl, Fredericksburg, Virginia |
| Authorized Official Name and Position | Sean Kim (PRESIDENT) |
| Authorized Official Contact | 5406237697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Club Dental Care 10861 Tidewater Trl Fredericksburg VA 22408-2048 Ph: (540) 371-7684 | River Club Dental Care 10861 Tidewater Trl Fredericksburg VA 22408-2048 Ph: (540) 371-7684 |
| NPI Number | 1215325055 |
|---|---|
| Provider Enumeration Date | 01/01/2015 |
| Last Update Date | 01/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215325055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411835 (Virginia) | Primary |
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