# GIOCONDA RIVERA DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376793018
- **Authorized official:** GIOCONDA RIVERA DDS (PRESIDENT)
- **Authorized official phone:** (281) 895-7070

## Contact information

- **Practice address:** 708 FM 1960 WEST, HOUSTON, TX 77090
- **Practice address phone:** (281) 895-7070
- **Practice address fax:** (281) 895-7171
- **Mailing address:** 708 FM 1960 WEST, HOUSTON, TX 77090
- **Mailing address phone:** (281) 895-7070
- **Mailing address fax:** (281) 895-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17256 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/30/2008