Individual
DR. RICHARD ALAN KAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2930 HAMILTON BLVD UPPR F, SUITE 101, SIOUX CITY, IA 51104-2551
(712) 258-6169
(712) 258-7053
Mailing address
2930 HAMILTON BLVD UPPR F, SUITE 101, SIOUX CITY, IA 51104-2551
(712) 258-6169
(712) 258-7053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061713
—
IA
05
—
07432
—
SD
01
—
29401
WELLMARK
—
05
—
42146860400
—
NE
01
—
837920
GOVERNMENT
—
Enumeration date
08/09/2006
Last updated
07/08/2007
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