Jesse Rivas, Dds, PA

NPI #1457625865 in Irving, Texas

Provider Information

NPI Number: 1457625865
Entity Type: Organization
Organization Name: Jesse Rivas, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2012
Last Updated: Mar 2, 2012

Practice Location

Address: 811 N MACARTHUR BLVD
City: Irving
State: Texas
ZIP Code: 75061-7325
Phone: (972) 254-4204

Authorized Official

Name: DR. JESSE RIVAS, D.D.S.
Title: PRESIDENT/DENTIST
Phone: (972) 254-4204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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