Individual
MRS. MARIA GUADALUPE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2016 W 16TH ST, SAFFORD, AZ 85546-4026
(928) 428-1500
Mailing address
808 N MISSION PKWY, CASA GRANDE, AZ 85194-8412
(520) 426-3639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009003
AZ
1223G0001X
General Practice Dentistry
Primary
D009003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949413
—
AZ
Enumeration date
07/16/2014
Last updated
03/08/2016
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