DR. Mitesh Jivan, D.M.D.

NPI #1154559334 in Mount Dora, Florida

Provider Information

NPI Number
1154559334
Entity Type
Individual
Name
DR. Mitesh Jivan, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jun 26, 2009
Last Updated
Jan 11, 2011

Practice Location

Address
2230 WEST OLD HIGHWAY 441
State
Florida
ZIP Code
32757-3508
Phone
(352) 383-2959

Specialties & Taxonomy Codes

Specialty
Dentist

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