Individual
DR. PHILIP O RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
#6 CALLE MEDICO STE 2, SANTE FE, NM 87505
(505) 982-4686
(505) 989-8266
Mailing address
#6 CALLE MEDICO STE 2, SANTE FE, NM 87505
(505) 982-4686
(505) 989-8266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1252
NM
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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