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Individual
JAMES BENJAMIN RIVERS SR.
Active
Individual
JAMES BENJAMIN RIVERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2075
TN
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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