Individual
DR. KIMON DIVARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
UNC SCHOOL OF DENTISTRY DEPT OF PEDIATRIC DENTISTRY, 228 BRAUER HALL CB #7450, CHAPEL HILL, NC 27599-7450
(919) 537-3556
(919) 537-3950
Mailing address
UNC SCHOOL OF DENTISTRY DEPT OF PEDIATRIC DENTISTRY, 228 BRAUER HALL CB #7450, CHAPEL HILL, NC 27599-7450
(919) 537-3556
(919) 537-3950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921506
—
NC
Enumeration date
10/10/2007
Last updated
05/28/2024
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