Rafael Rivera JR. D.D.S.

NPI 1013912427 - Dentist - 122300000X

NPI Details
NPI 1013912427
Gender Male
Enumeration Date 06/14/2005
Last Updated 03/12/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4901 N TRYON ST
CHARLOTTE NC, 28213-7033, US
Phone (704) 921-0204
Fax
Business Location
1538 UNION RD
SUITE A
GASTONIA NC, 28054-2205, US
Phone (704) 816-1402
Fax
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 6870
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According to our database, Dr. Rafael Rivera JR. D.D.S. NPI is 1013912427, taxonomy code is 122300000X and license number is 6870, license state is located at North Carolina. Rafael Rivera JR. D.D.S. physically located at 4901 N Tryon St, Charlotte NC, 28213-7033. NPI Number Rafael Rivera JR. D.D.S. has the Individual type.

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1013912427 NPI number is provided on an as is basis without warranty of any kind. 1013912427 is maintained by the National Plan & Provider Enumeration System. The contents of Rafael Rivera JR. D.D.S. are for informational purposes only.