Individual
DR. COURTNEY BETH KANIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
1006 SCHROEDER CREEK BLVD., SUITE 1006, WENTZVILLE, MO 63385
(636) 327-7177
Mailing address
674 AVONDALE DR, SAINT PETERS, MO 63376-7717
(636) 399-2387
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2004015771
MO
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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