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RIVERWALK DENTAL SPA
NPI 1972052322
Dentist - General Practice in Riverside, CA

Active since September 27, 2016
11695 SLATE AVE STE 200, RIVERSIDE, CA 92505(951) 353-0050(951) 353-0060 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverwalk Dental Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERWALK DENTAL SPA (NPI 1972052322) is a healthcare organization registered as a general practice in Riverside, California and active in the NPI registry since September 2016. The organization lists Truc Trung Mai, Dentist, as its authorized official.

NPPES Registry Identity

NPI1972052322
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLSA DENTAL CENTER
Location Address11695 SLATE AVE STE 200Riverside, CA 92505-5197
Mailing Address11695 Slate Ave Ste 200Riverside, CA 92505-5197 · (951) 353-0050 · Fax (951) 353-0060
Phone(951) 353-0050
Fax(951) 353-0060
Organization SubpartNo
Authorized OfficialTruc Trung MaiDentist · (951) 353-0050
Enumeration DateSeptember 27, 2016
✔ NPI 1972052322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 44934✔ Licensed in CA · 44933
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11695 SLATE AVE STE 200, Riverside, CA 92505
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Other Names 1

Doing Business AsRiverwalk Dental Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIEU TRUNG MAI D.M.D.
Dentist
11695 SLATE AVE STE 200
RIVERSIDE, CA 92505
Riverside County (951) 353-0050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolsa Dental Center's NPI number?

The NPI number for Bolsa Dental Center is 1972052322. It was assigned to this organization in the NPPES registry on September 27, 2016. The provider is doing business as Riverwalk Dental Spa.

Where is Bolsa Dental Center located?

Bolsa Dental Center is located at 11695 Slate Ave Ste 200, Riverside, CA 92505. The listed phone number is (951) 353-0050.

What is Bolsa Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bolsa Dental Center was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.