Individual
JULIO CESAR RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9517 MAYNE ST, BELLFLOWER, CA 90706-5216
(323) 395-9267
Mailing address
11635 SOUTH ST, ARTESIA, CA 90701-6628
(310) 820-9933
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60742
CA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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