Individual
DR. RYAN P RIVAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2340 S COMMERCE RD, WALLED LAKE, MI 48390-2174
(248) 669-3434
Mailing address
9191 TAN BAY ST, COMMERCE TOWNSHIP, MI 48382
(248) 943-1812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022637
MI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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