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Individual

DR. ADRIAN ALEXIS RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5800 SW 13TH ST, PLANTATION, FL 33317-5342
(305) 807-9082
Mailing address
5800 SW 13TH ST, PLANTATION, FL 33317-5342
(305) 807-9082

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 18500
FL

Other

Enumeration date
05/01/2009
Last updated
06/09/2011
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