Individual
DR. LARRY D MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8085 W BELL RD, SUITE 103, PEORIA, AZ 85382-3825
(623) 878-5400
(623) 878-6467
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7888
AZ
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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