Organization
E. A. KIVUS, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN KIVUS D.D.S. (OWNER)
(205) 823-3461
Entity
Organization
Contact information
Practice address
1310 ALFORD AVE, HOOVER, AL 35226-3199
(205) 823-3461
(204) 978-3752
Mailing address
1310 ALFORD AVE, HOOVER, AL 35226-3199
(205) 823-3461
(204) 978-3752
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6222
AL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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