DR. Mariano De La Riva, D.D.S.

NPI #1821394446 in South Miami, Florida

Provider Information

NPI Number: 1821394446
Entity Type: Individual
Name: DR. Mariano De La Riva, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 28, 2011
Last Updated: Sep 18, 2012

Practice Location

Address: 7450 SW 57TH AVE
Address 2: #A
City: South Miami
State: Florida
ZIP Code: 33143-5302
Phone: (650) 380-8872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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