Individual
DR. MARIANO DE LA RIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7450 SW 57TH AVE, #A, SOUTH MIAMI, FL 33143-5302
(650) 380-8872
Mailing address
19380 COLLINS AVE, APT. 1720, SUNNY ISLES BEACH, FL 33160-2239
(650) 380-8872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10368
CO
122300000X
Dentist
Primary
DN19967
FL
Other
Enumeration date
01/28/2011
Last updated
09/18/2012
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