Individual
DR. PAUL BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4326 PARK BLVD, SUITE C-EAST, PINELLAS PARK, FL 33781-3555
(727) 544-5345
(727) 547-8263
Mailing address
1614 HUNTINGTON PL, SAFETY HARBOR, FL 34695-5233
(727) 726-9568
(727) 547-8263
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6295
FL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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