Provider Demographics
NPI:1639474653
Name:BABETTE M RIVERA DDS PA
Entity Type:Organization
Organization Name:BABETTE M RIVERA DDS PA
Other - Org Name:VALENCIA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BABETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-878-9989
Mailing Address - Street 1:9310 ORATORIO CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-2570
Mailing Address - Country:US
Mailing Address - Phone:832-878-9989
Mailing Address - Fax:
Practice Address - Street 1:7324 SOUTHWEST FWY
Practice Address - Street 2:SUITE 380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:832-878-9989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty