| Riverside Dental Associates, Llc | |
|
1521 Doctors Ct Watertown WI 53094-4101 | |
| (920) 262-2176 | |
| (920) 262-2131 |
| Full Name | Riverside Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1521 Doctors Ct, Watertown, Wisconsin |
| Authorized Official Name and Position | David Cullings Meade (OWNER/DENTIST) |
| Authorized Official Contact | 9202622176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Associates, Llc 1521 Doctors Ct Watertown WI 53094-4101 Ph: (920) 262-2176 | Riverside Dental Associates, Llc 1521 Doctors Ct Watertown WI 53094-4101 Ph: (920) 262-2176 |
| NPI Number | 1316606718 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316606718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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