Provider Demographics
NPI:1437346020
Name:GRIESSER, MARLO RIVERA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARLO
Middle Name:RIVERA
Last Name:GRIESSER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11577 HIGHWAY SIX SOUTH
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-313-5700
Mailing Address - Fax:281-313-5720
Practice Address - Street 1:11577 HIGHWAY SIX SOUTH
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-313-5700
Practice Address - Fax:281-313-5720
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist