Jonathan Rivera, N5
NPI #1700398021 in Fort Irwin, California
Provider Information
- NPI Number
- 1700398021
- Entity Type
- Individual
- Name
- Jonathan Rivera, N5
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Laboratory Technician
- Credential
- N5
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Dec 13, 2018
Practice Location
- Address
- 2605 SAINT MIHIEL ST
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310-1654
- Phone
- (615) 663-2003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Laboratory Technician |
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