Individual
DR. DMITRIY PIVNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18455 TECHNOLOGY DR, MORGAN HILL, CA 95037-2822
(415) 412-3158
Mailing address
18455 TECHNOLOGY DR, MORGAN HILL, CA 95037-2822
(415) 412-3158
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
100181
CA
1223P0221X
Pediatric Dentistry
21542
MT
Other
Enumeration date
01/29/2016
Last updated
10/10/2022
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