Individual
DR. JACLYN F RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
13246 N DALE MABRY HWY, TAMPA, FL 33618-2408
(813) 926-6776
Mailing address
13246 N DALE MABRY HWY, TAMPA, FL 33618-2408
(813) 926-6776
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN21806
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/03/2013
Last updated
05/18/2016
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