Individual
DR. DOMINIQUE REY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5183 HINKLEVILLE RD, PADUCAH, KY 42001-9667
(877) 634-3411
Mailing address
513 PINE ST, EDDYVILLE, KY 42038-7974
(270) 625-2778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10150
KY
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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