| Arivera Pllc | |
|
2428 W Illinois Ave Dallas TX 75233-1106 | |
| (214) 330-0222 | |
| Not Available |
| Full Name | Arivera Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2428 W Illinois Ave, Dallas, Texas |
| Authorized Official Name and Position | Antonio R Rivera (OWNER) |
| Authorized Official Contact | 2144768663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arivera Pllc 2420 Hugo St Apt 5 Dallas TX 75204-2842 Ph: (214) 476-8663 | Arivera Pllc 2428 W Illinois Ave Dallas TX 75233-1106 Ph: (214) 330-0222 |
| NPI Number | 1750609566 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750609566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23308 (Texas) | Primary |
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