DR. Kenny Farivari, D.D.S.

NPI #1275896847 in La Vista, Nebraska

Provider Information

NPI Number: 1275896847
Entity Type: Individual
Name: DR. Kenny Farivari, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 19, 2012
Last Updated: Jun 19, 2012

Practice Location

Address: 8041 S 83RD AVE
City: La Vista
State: Nebraska
ZIP Code: 68128-2490
Phone: (402) 884-1174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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