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Organization
GREGORY B KIVETT JR LLC
Active
Organization
GREGORY B KIVETT JR LLC
Active
Other names
Associates of Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN KIVETT (BUSINESS MANAGER)
(417) 781-5600
Entity
Organization
Contact information
Practice address
525 W 32ND ST, JOPLIN, MO 64804-2514
(417) 781-5600
(417) 623-5177
Mailing address
525 W 32ND ST, JOPLIN, MO 64804-2514
(417) 781-5600
(417) 623-5177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2005015022
MO
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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