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Organization
RIVERO DMD, INC
Active
Organization
RIVERO DMD, INC
Active
Other names
The Dental Extraction Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ANTONIO RIVERO DMD (DIRECTOR)
(407) 923-7433
Entity
Organization
Contact information
Practice address
3560 FAIRMOUNT AVE STE B, SAN DIEGO, CA 92105-3420
(619) 877-0124
Mailing address
5023 AUGUST ST, SAN DIEGO, CA 92110-1204
(407) 923-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
04/01/2025
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