Individual
CELIANY LOPEZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
529 N VALLEY MILLS DR, WACO, TX 76710-5234
(254) 230-1582
Mailing address
135 CASA LINDA VLG, BAYAMON, PR 00959-8984
(787) 408-5545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33507
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2017
Last updated
08/29/2017
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