Individual
DR. KATIE MARIE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 4TH ST NW, FARIBAULT, MN 55021-5089
(507) 384-6830
Mailing address
400 4TH ST NW, FARIBAULT, MN 55021-5089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13434
MN
1223G0001X
General Practice Dentistry
D13434
MN
Other
Enumeration date
06/19/2014
Last updated
12/04/2025
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