| Lilia H Rivas Dds Inc | |
|
9401 Long Beach Blvd South Gate CA 90280-4144 | |
| (323) 563-7565 | |
| Not Available |
| Full Name | Lilia H Rivas Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9401 Long Beach Blvd, South Gate, California |
| Authorized Official Name and Position | Lilia H Rivas (PRESIDENT) |
| Authorized Official Contact | 3109387224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilia H Rivas Dds Inc 9401 Long Beach Blvd South Gate CA 90280-4144 Ph: (323) 563-7565 | Lilia H Rivas Dds Inc 9401 Long Beach Blvd South Gate CA 90280-4144 Ph: (323) 563-7565 |
| NPI Number | 1376991703 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376991703 | NPI | - | NPPES |
| 1083896393 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48363 (California) | Primary |
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