DR. John A Kivus, DMD
NPI #1316062524 in South Portland, Maine
Provider Information
- NPI Number
- 1316062524
- Entity Type
- Individual
- Name
- DR. John A Kivus, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 324 GANNETT DR
- Address 2
- SUITE 500
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-3270
- Phone
- (207) 253-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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