Individual
DR. DONNIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4057
(414) 231-4013
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4057
(414) 231-4013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028351
IL
Other
Enumeration date
07/20/2010
Last updated
09/26/2013
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