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Jonathan Rivera, N5
Dental Laboratory Technician in Fort Irwin, California
NPI 1700398021

Jonathan Rivera is a Dental Laboratory Technician based in Fort Irwin, CA. Jonathan Rivera practices in Fort Irwin, CA and has the professional credentials of N5. The NPI Number for Jonathan Rivera is 1700398021 and holds a License No. (California).

The current practice location address for Jonathan Rivera is 2605 Saint Mihiel St, Fort Irwin, CA and can be reached out via phone at 615-663-2003.

Location: 2605 Saint Mihiel St, Fort Irwin, CA, 92310-1654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700398021
Provider Name
Jonathan Rivera
Credential
N5
Provider Entity Type
Individual
Gender
Male
Address
2605 Saint Mihiel St, Fort Irwin, CA, 92310-1654
Phone Number
615-663-2003
Fax Number
Provider Enumeration Date
10/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2605 Saint Mihiel St
City
Fort Irwin
State
California
Zip
92310-1654
Phone Number
615-663-2003
Fax Number
person
Provider Business Mailing Address Details
Address
2605 Saint Mihiel St
City
Fort Irwin
State
California
Zip
92310-1654
Phone Number
615-663-2003
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Laboratory Technician
Speciality
-
Taxonomy
126900000X
License No.
()
Definition
An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.
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