Individual
DR. GEORGE MICHAEL RIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 N PARK AVE, LE CENTER, MN 56057-1511
(507) 357-4833
(507) 357-4833
Mailing address
34 N PARK AVE, LE CENTER, MN 56057-1511
(507) 357-4833
(507) 357-4833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351718700
MEDICAL ASSISTANCE
MN
Enumeration date
11/08/2005
Last updated
06/10/2014
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