Individual
DR. JOSE ANGEL RIVERA-GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5681 FAIRMONT PKWY STE B, PASADENA, TX 77505-3903
(281) 998-8800
Mailing address
2536 AMHERST ST STE A, HOUSTON, TX 77005-3207
(713) 490-8880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27318
TX
1223G0001X
General Practice Dentistry
2321
PR
Other
Enumeration date
08/12/2005
Last updated
10/03/2019
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