Rivadeneiralpt Pllc | |
10225 Ulmerton Rd Ste 1b Largo FL 33771-3522 | |
(973) 722-4459 | |
Not Available |
Full Name | Rivadeneiralpt Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 10225 Ulmerton Rd Ste 1b, Largo, Florida |
Authorized Official Name and Position | Jose Eugenio Rivadeneira (DENTIST) |
Authorized Official Contact | 9737224459 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rivadeneiralpt Pllc 11640 Hidden Hollow Cir # A Tampa FL 33635-6217 Ph: (973) 722-4459 | Rivadeneiralpt Pllc 10225 Ulmerton Rd Ste 1b Largo FL 33771-3522 Ph: (973) 722-4459 |
NPI Number | 1194617977 |
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Provider Enumeration Date | 07/16/2025 |
Last Update Date | 07/16/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194617977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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