| NPI | 1487635926 |
|---|---|
| Former Legal Business Name | ERIC A DZIURDZIEL DDS & MARY KAY KRIVY DDS PC |
| Entity Type | Organization |
| Authorized Contact | MARY KAY KRIVY Dds Dentist 307-632-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY WY963) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WY WY967) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |