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1609842061
TIMOTHY M PIVONKA
JUNCTION CITY, KS
NPI
1609842061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 60329)
Enumeration Date
2006-02-27
Last Update Date
2007-11-15
Business Address
TIMOTHY M PIVONKA DDS
361 GRANT AVE
JUNCTION CITY, KS 66441-4201
Phone number: 785-238-4711
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Mailing Address
TIMOTHY M PIVONKA DDS
PO BOX 1107
JUNCTION CITY, KS 66441-1107
Phone number: 785-238-4711
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