Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN RIVERA, N5
ActiveDental Laboratory Technician · FORT IRWIN, CA
Registration Details
- NPI Number
- 1700398021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2017 (8.5062148632873 yrs)
- Last Updated
- Dec 13, 2018
Practice Information
- Address
-
2605 SAINT MIHIEL STFORT IRWIN, CA, 923101654Browse CA providers · Browse ZIP 92310
- Phone
- 6156632003
- Primary Specialty
-
Dental Laboratory Technician
126900000X
Other Dental Laboratory Technician Providers in FORT IRWIN, CA
| Name | Credential | NPI |
|---|---|---|
| NICOLE SEPULVEDA | 68EN5 | 1881106193 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.