# DAVID R RIVERA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David R Rivera DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275003444
- **Authorized official:** DR. DAVID RIVERA DDS (OWNER)
- **Authorized official phone:** (361) 212-5544

## Contact information

- **Practice address:** 106 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
- **Practice address phone:** (361) 212-4344
- **Mailing address:** 205 WOODWAY DR, VICTORIA, TX 77904-1123
- **Mailing address phone:** (361) 212-5544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 11/30/2018