Individual
DR. AUGUSTO DENNIS RIVERA III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL POSTGRADUATE DENTAL SCHOOL, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-5451
Mailing address
5804 EDSON LN, ROCKVILLE, MD 20852-2981
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1476
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37279
CA
Other
Enumeration date
08/16/2005
Last updated
09/11/2025
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