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Organization
L M RIVAS DMD, INC.
Active
Organization
L M RIVAS DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RIVAS DMD (OWNER DENTIST)
(661) 607-5834
Entity
Organization
Contact information
Practice address
331 W CHANNEL ISLANDS BLVD, PORT HUENEME, CA 93041-1722
(805) 204-9941
Mailing address
331 W CHANNEL ISLANDS BLVD, PORT HUENEME, CA 93041-1722
(805) 204-9941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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