Gregory B Kivett Jr LLC

NPI #1225450075 in Joplin, Missouri

Provider Information

NPI Number
1225450075
Entity Type
Organization
Organization Name
Gregory B Kivett Jr LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 14, 2014
Last Updated
Jan 14, 2014

Practice Location

Address
525 W 32ND ST
City
Joplin
ZIP Code
64804-2514
Phone
(417) 781-5600

Authorized Official

Name
MEGAN KIVETT
Title
BUSINESS MANAGER
Phone
(417) 781-5600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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