Organization
ANNA RIVERA DMD LLC
Active
Other names
WHITING DENTAL STUDIO
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA RIVERA (DENTIST/OWNER)
(510) 326-1472
Entity
Organization
Contact information
Practice address
1032 119TH ST STE A, WHITING, IN 46394-1514
(219) 659-7060
Mailing address
1032 119TH ST STE A, WHITING, IN 46394-1514
(219) 659-7060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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