Organization
RIVERA & ASSOCIATES, P.A.
Active
Parent organization
RIVERA & ASSOCIATES, P.A.
Other names
Wiry Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERA & ASSOCIATES, P.A.
Authorized official
MR. RYAN PATRICK ROOT (PRESIDENT OF BUSINESS OPERATIONS)
(719) 406-2921
Entity
Organization
Contact information
Practice address
1819 BRENNER AVE, SALISBURY, NC 28144-2519
(704) 944-0550
Mailing address
3340 ROBINWOOD RD STE 100-406, GASTONIA, NC 28054-6689
(719) 406-2921
(704) 398-7373
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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