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1285988758
BIVONA FAMILY DENTAL
JASPER, AL
NPI
1285988758
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Entity Type
Organization
Authorized Contact
MICHAEL JACOB BIVONA
Dentist
205-387-8888
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL 5848)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
BIVONA FAMILY DENTAL
1206 HIGHWAY 78 E
JASPER, AL 35501-3939
Phone number: 205-387-8888
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Mailing Address
BIVONA FAMILY DENTAL
1206 HIGHWAY 78 E
JASPER, AL 35501-3939
Phone number: 205-387-8888
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