Rivera, Jadie Wanda

Rivera, Jadie Wanda is an sole proprietor health care provider with primary practice located at 5800 3Rd Ave , Brooklyn NY 11220-3702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Rivera, Jadie Wanda can be contacted via phone (718) 630-6180.

Contact Information

Primary practice address
5800 3Rd Ave Brooklyn NY 11220-3702
Phone: (718) 630-6180
Fax: (718) 630-7437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 51025921 New York

Profile Details

NPI number 1679801583
LBN Legal business name Rivera, Jadie Wanda
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2009
Last updated Dec 4th, 2009 - about 17 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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