| Richard D Riva Dds Llc | |
|
33 Main St Suite 201 Chatham NJ 07928 | |
| (973) 635-5800 | |
| (973) 635-5383 |
| Full Name | Richard D Riva Dds Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 33 Main St, Chatham, New Jersey |
| Authorized Official Name and Position | Richard D Riva (ORAL AND MAXILLOFACIAL SURGEONS) |
| Authorized Official Contact | 9736355800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Riva Dds Llc 33 Main St Suite 201 Chatham NJ 07928 Ph: (973) 635-5800 | Richard D Riva Dds Llc 33 Main St Suite 201 Chatham NJ 07928 Ph: (973) 635-5800 |
| NPI Number | 1376664763 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376664763 | NPI | - | NPPES |
| 22DI01029900 | Other | NJ | B OF DENTISTRY LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI01029900 (New Jersey) | Primary |
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