Individual
ANDREW ALIDO RIVAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1260 TRANCAS ST, NAPA, CA 94558-2910
(707) 501-5102
Mailing address
PO BOX 20305, EL SOBRANTE, CA 94820-0305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020053
MI
1223G0001X
General Practice Dentistry
Primary
59690
CA
Other
Enumeration date
06/24/2009
Last updated
06/13/2016
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