Individual
CARLOS A RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5800 VAN BUREN BLVD, STE 110, RIVERSIDE, CA 92503-9032
(951) 688-0046
(951) 688-0057
Mailing address
5800 VAN BUREN BLVD, STE 110, RIVERSIDE, CA 92503-9032
(951) 688-0046
(951) 688-0057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D49649
—
CA
Enumeration date
05/23/2007
Last updated
07/09/2007
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