Individual
BRIAN MICHAEL HIVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1208 BELL RD, CHAGRIN FALLS, OH 44022-4254
(440) 338-1711
(440) 338-5107
Mailing address
1208 BELL RD, CHAGRIN FALLS, OH 44022-4254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023675
OH
Other
Enumeration date
04/06/2011
Last updated
07/12/2013
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