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Organization

RAFAEL RIVERA, JR, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAUREEN SHIROMA (DIRECTOR OF OFFICE MANAGERS)
(336) 747-1523
Entity
Organization

Contact information

Practice address
2520 N COLLEGE RD, WILMINGTON, NC 28405-8808
(704) 816-1403
Mailing address
PO BOX 26394, WINSTON SALEM, NC 27114-6394
(704) 816-1401
(704) 398-7373

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/24/2014
Last updated
04/12/2024
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