MITESH JIVAN

MOUNT DORA, FL
NPI1154559334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN18726)
Enumeration Date2009-06-26
Last Update Date2011-01-11
Business Address
Dr. MITESH JIVAN D.M.D.
2230 WEST OLD HIGHWAY 441
MOUNT DORA, FL 32757-3508
Phone number: 352-383-2959
Mailing Address
Dr. MITESH JIVAN D.M.D.
2230 WEST OLD HIGHWAY 441
MOUNT DORA, FL 32757-3508
Phone number: 352-383-2959