Individual
DR. JOSEFA A RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4527 47TH ST, WOODSIDE, NY 11377-5225
(718) 482-8065
(718) 482-8066
Mailing address
4527 47TH ST, WOODSIDE, NY 11377-5225
(718) 482-8065
(718) 482-8066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050748-1
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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