Organization
KRIVARCHKA FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT VICTOR KRIVARCHKA DDS (DENTIST)
(605) 951-1084
Entity
Organization
Contact information
Practice address
1511 W HOLLY BLVD, BRANDON, SD 57005-2658
(605) 951-1084
Mailing address
7608 W GRINNELL CIR, SIOUX FALLS, SD 57106-7669
(605) 951-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0911
SD
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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