Individual
DR. ANGEL IVAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2780 HIGHWAY 365 STE C, PORT ARTHUR, TX 77640-2191
(409) 332-4701
Mailing address
7606 MARINETTE DR, HOUSTON, TX 77074-4750
(713) 419-9775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36381
TX
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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