Individual
DR. EVAN PIVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
(970) 352-5448
Mailing address
922 CHATHAM LN UNIT C, COLUMBUS, OH 43221-2435
(614) 743-1955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204707
CO
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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