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Organization

ARIVERA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTONIO R RIVERA D.D.S. (OWNER)
(214) 476-8663
Entity
Organization

Contact information

Practice address
2428 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-0222
Mailing address
2420 HUGO ST APT 5, DALLAS, TX 75204-2842
(214) 476-8663

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23308
TX

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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