| Lisa Rivas Dmd, Inc | |
|
9201 W Sunset Blvd Ste 501 West Hollywood CA 90069-3706 | |
| (310) 278-9121 | |
| Not Available |
| Full Name | Lisa Rivas Dmd, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9201 W Sunset Blvd Ste 501, West Hollywood, California |
| Authorized Official Name and Position | Lisa Rivas (PRESIDENT) |
| Authorized Official Contact | 6616075834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Rivas Dmd, Inc 96 Calle Escalon Camarillo CA 93010-1709 Ph: (661) 607-5834 | Lisa Rivas Dmd, Inc 9201 W Sunset Blvd Ste 501 West Hollywood CA 90069-3706 Ph: (310) 278-9121 |
| NPI Number | 1275303323 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275303323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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