Individual provider · Type 1 NPI

Llisenia E. Rivera, D.M.D

Oral and Maxillofacial Surgery (Dentist) · Bronx, NY

NPI number 1386837805 Active

Practice location

1940 Grand Concourse
Bronx, NY 10457-5221

Call (718) 583-6347 Map

Mailing address

86 Longview Ave
Hackensack, NJ 07601-1807

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X053658 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1386837805

Llisenia E. Rivera, D.M.D's National Provider Identifier is 1386837805, issued on Aug 20, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bronx, NY. The record was last updated on Sep 7, 2007.