Doctor Name: | DR. WARREN RIVERA-MORALES |
NPI Number: | 1063568996 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD, MS |
License Number: | 11592 |
Business Practice Address: | 15 Ruth Dr Newnan, GA - 302651339 |
Business Phone Number: | 7702533171 |
Business Fax Number: | 7702539892 |
Mailing Address: | 15 Ruth Dr, NEWNAN |
State: | GA |
Postal Code: | 302651339 |
Phone Number: | 7702533171 |
Fax Number: | 7702539892 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 11592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |