Rivera, Grace C
Rivera, Grace C is an sole proprietor health care provider with primary practice located at 4847 Lone Tree Way Ste B , Antioch CA 94531-8612. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rivera, Grace C can be contacted via phone (925) 755-4040.Contact Information
Primary practice address
4847 Lone Tree Way Ste B
Antioch CA 94531-8612
Phone: (925) 755-4040
Fax: (925) 755-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48364 | California |
Profile Details
| NPI number | 1528266160 |
|---|---|
| LBN Legal business name | Rivera, Grace C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528266160 | NPPES |
| California | Other | B48364-01 | HEALTHY FAMILIES |
| California | Other | 1332285 | HEALTHY FAMILIES |
| California | Other | G93378-01 | HEALTHY FAMILIES |
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