Brian Michael Bivens, DMD

NPI #1093897738 in Tampa, Florida

Provider Information

NPI Number
1093897738
Entity Type
Individual
Name
Brian Michael Bivens, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DMD
Enumeration Date
Oct 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
825 W DR MARTIN LUTHER KING JR BLVD
City
Tampa
State
Florida
ZIP Code
33603-3337
Phone
(813) 237-1982

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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