Organization
RIVERA & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL RIVERA JR. D.D.S. (PRESIDENT)
(704) 816-1401
Entity
Organization
Contact information
Practice address
400 E STATESVILLE AVE, MOORESVILLE, NC 28115-2581
(704) 816-1401
Mailing address
1538 UNION RD STE A, GASTONIA, NC 28054-2205
(704) 816-1401
(704) 398-7373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6870
NC
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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