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Individual
VICTOR AUGUSTO NIVAR
Active
Individual
VICTOR AUGUSTO NIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060361
NY
124Q00000X
Dental Hygienist
024128
NY
Other
Enumeration date
11/10/2012
Last updated
05/23/2019
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