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Individual

DR. ANTONIO RAMON RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2428 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-0222
(214) 330-0317
Mailing address
2428 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-0222
(214) 330-0317

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
23308
TX
1223G0001X
General Practice Dentistry
Primary
23308
TX

Other

Enumeration date
08/08/2007
Last updated
06/16/2021
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