BRIAN MICHAEL BIVENS

TAMPA, FL
NPI1093897738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL  DN16668)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
-- BRIAN MICHAEL BIVENS DMD
825 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33603-3337
Phone number: 813-237-1982
Mailing Address
-- BRIAN MICHAEL BIVENS DMD
825 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33603-3337
Phone number: 813-237-1982
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