Individual
JACQUES ELI RIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
409 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 371-4131
(540) 371-5621
Mailing address
409 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 371-4131
(540) 371-5621
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000007
VA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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