Individual
DR. DENNIS EMILIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1631 WETZEL AVE BLDG 815, FT CARSON, CO 80913-4095
(719) 526-5537
(719) 526-5551
Mailing address
1631 WETZEL AVE BLDG 815, FT CARSON, CO 80913-4095
(719) 526-5537
(719) 526-5551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028381
IL
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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