Rivera, Angel Ivan

Rivera, Angel Ivan is an individual health care provider with primary practice located at 2780 Highway 365 Ste C , Port Arthur TX 77640-2191. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rivera, Angel Ivan can be contacted via phone (409) 332-4701.

Contact Information

Primary practice address
2780 Highway 365 Ste C Port Arthur TX 77640-2191
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 36381 Texas

Profile Details

NPI number 1083222392
LBN Legal business name Rivera, Angel Ivan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Jul 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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