Jessup Dental Associates T/a Blank Rivera PA
NPI #1154374676 in Elkridge, Maryland
Provider Information
- NPI Number
- 1154374676
- Entity Type
- Organization
- Organization Name
- Jessup Dental Associates T/a Blank Rivera PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. EMILIO ENRIQUE RIVERA, DDS
- Title
- PRESIDENT
- Phone
- (410) 799-2692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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