NPI 1477698215

Mario N Rivera, DR

Practitioner Dental Laboratory Technician Orlando, FL

Practice location

Address: 232 N Orange Blossom Trl, Orlando, FL 32805-1612
Phone: (407) 428-1672
Fax: (407) 481-8638

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X Licence DR125576 (FL)

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Registry record

NPI: 1477698215
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.