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NPI 1700398021

IndividualActive

Jonathan Rivera, N5

NPI 1700398021 · Dental Laboratory Technician · Fort Irwin, CA

Provider details

NPI number: 1700398021
Entity type: Individual
Primary specialty: Dental Laboratory TechnicianDental Providers
Credential: N5
Sex: Male
Sole proprietor: No

Practice location

2605 Saint Mihiel St

Fort Irwin, CA 92310-1654

Phone: (615) 663-2003

More CA providers

Mailing address

2605 Saint Mihiel St

Fort Irwin, CA 92310-1654

Registry dates

Enumerated: 2017-10-26
Last updated: 2018-12-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jonathan Rivera, N5 — NPI 1700398021, Fort Irwin, CA | NPI Central