Josefa a Rivas DDS PC

NPI #1831645407 in Woodside, New York

Provider Information

NPI Number: 1831645407
Entity Type: Organization
Organization Name: Josefa a Rivas DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 4527 47 STREET
City: Woodside
State: New York
ZIP Code: 11377
Phone: (718) 482-8065

Authorized Official

Name: DR. JOSEFA RIVAS
Title: PRESIDENT
Phone: (718) 482-8065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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