Individual
NILDA I RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
361 BIRD ST, BRIDGEPORT, CT 06605-2804
(203) 330-6000
Mailing address
19 LAKEVIEW AVE, BRIDGEPORT, CT 06606-3128
(203) 373-9406
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007058
CT
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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