Individual
LEAH M LARKIN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8800 LOCKWOOD AVE, SKOKIE, IL 60077-1500
(773) 761-0300
Mailing address
8800 LOCKWOOD AVE, SKOKIE, IL 60077-1500
(773) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01902787
IL
1223G0001X
General Practice Dentistry
08573
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00800200
—
IA
05
—
1932193224
—
IA
Enumeration date
08/11/2008
Last updated
01/31/2022
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