Individual
DOMINIQUE ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 ARAPAHOE AVE, BOULDER, CO 80303-1032
(505) 944-5037
Mailing address
8223 DESERT PLUME LN NE, ALBUQUERQUE, NM 87122-1250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206001
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2024
Last updated
06/27/2024
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