Individual
DR. LOUIS RAUL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4824 MCMAHON BLVD NW, SUITE 105, ALBUQUERQUE, NM 87114-5412
(505) 890-1911
(505) 890-5014
Mailing address
4824 MCMAHON BLVD NW, SUITE 105, ALBUQUERQUE, NM 87114-5412
(505) 890-1911
(505) 890-5014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1537
NM
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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