Individual
DR. JEFFREY EARL RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
420 GRAND AVE., CENTER CITY, MN 55012-0235
(651) 257-1140
Mailing address
PO BOX 235, CENTER CITY, MN 55012-0235
(651) 257-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8304
MN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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