Jonathan David Pivo D.D.S.

NPI 1649496282 - Dentist - 1223G0001X

NPI Details
NPI 1649496282
Gender Male
Enumeration Date 04/18/2007
Last Updated 03/31/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
9920 VENICE BLVD
CULVER CITY CA, 90232-2719, US
Phone (310) 558-0023
Fax
Business Location
9920 VENICE BLVD
CULVER CITY CA, 90232-2719, US
Phone (310) 558-0023
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 53645
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According to our database, Dr. Jonathan David Pivo D.D.S. NPI is 1649496282, taxonomy code is 1223G0001X and license number is 53645, license state is located at California. Jonathan David Pivo D.D.S. physically located at 9920 Venice Blvd, Culver City CA, 90232-2719. NPI Number Jonathan David Pivo D.D.S. has the Individual type.

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1649496282 NPI number is provided on an as is basis without warranty of any kind. 1649496282 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan David Pivo D.D.S. are for informational purposes only.