Individual
DR. ELIAS M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
623 GARRISONVILLE RD, STAFFORD, VA 22554-3710
(540) 300-1248
Mailing address
623 GARRISONVILLE RD, STAFFORD, VA 22554-3710
(540) 300-1248
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401417269
VA
1223P0700X
Prosthodontics
17214
MD
Other
Enumeration date
07/16/2012
Last updated
04/16/2021
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