Organization
LISA RIVAS DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RIVAS DMD (PRESIDENT)
(661) 607-5834
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVD STE 501, WEST HOLLYWOOD, CA 90069-3706
(310) 278-9121
Mailing address
96 CALLE ESCALON, CAMARILLO, CA 93010-1709
(661) 607-5834
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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