Individual
DR. CAROLINA BERENICE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-3988
Mailing address
528 FAIRMONT ST, HARVEY, LA 70058-4212
(504) 352-4334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6403
LA
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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