Individual
DR. JOHN C IVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, PS
Contact information
Practice address
19214 BOTHELL WAY NE, SUITE A, BOTHELL, WA 98011-6066
(425) 483-2828
(425) 485-8781
Mailing address
19214 BOTHELL WAY NE, SUITE A, BOTHELL, WA 98011-6066
(425) 483-2828
(425) 485-8781
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4938
WA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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