Individual
JESSICA RIVAS-PLATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2609 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1355
(954) 485-1170
Mailing address
9981 NW 9TH CT, PLANTATION, FL 33324-1159
(954) 915-6823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17759
FL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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