Provider Demographics
NPI:1346392966
Name:VIERA, LILIAN RIVERA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:RIVERA
Last Name:VIERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1633
Mailing Address - Country:US
Mailing Address - Phone:203-845-9091
Mailing Address - Fax:
Practice Address - Street 1:10 MOTT AVE
Practice Address - Street 2:SUITE 4C
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3320
Practice Address - Country:US
Practice Address - Phone:203-866-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT79331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry