GLENN MAMO BIVEN

AIEA, HI
NPI1417107640
Professional NameGLENN M BIVEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: HI  673)
Enumeration Date2008-09-24
Last Update Date2008-09-24
Business Address
Dr. GLENN MAMO BIVEN DDS MS
98211 PALI MOMI ST #412
AIEA, HI 96701-4318
Phone number: 808-488-0822
Mailing Address
Dr. GLENN MAMO BIVEN DDS MS
98211 PALI MOMI ST #412
AIEA, HI 96701
Phone number: 808-488-0822