Individual
MISS VICKI ANNE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
287 WESTERN AVE, ALLSTON, MA 02134-1010
(617) 783-0500
Mailing address
22 PEOPLES PL, HAVERHILL, MA 01832-3654
(916) 397-7860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855127
MA
Other
Enumeration date
06/10/2009
Last updated
11/30/2012
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