Individual
DR. REYNALDO DAVID RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
67 S GLENN DR, CAMARILLO, CA 93010-7944
(805) 738-3287
Mailing address
67 S GLENN DR, CAMARILLO, CA 93010-7944
(805) 738-3287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019099
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901019099
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS106044
CA
Other
Enumeration date
04/19/2007
Last updated
05/31/2022
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