Individual
DR. CANDIDO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2936 N NEENAH AVE, CHICAGO, IL 60634-4960
(773) 369-6381
Mailing address
7117 GREEN BAY RD, KENOSHA, WI 53142-1450
(262) 942-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029937
IL
122300000X
Dentist
Primary
1000959-15
WI
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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