JACKLYN ALIZA PIVOVAROV

PRINCESS ANNE, MD
NPI1790346229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  LL857)
Enumeration Date2019-06-25
Last Update Date2019-07-09
Business Address
Ms. JACKLYN ALIZA PIVOVAROV DDS
12165 ELM ST
PRINCESS ANNE, MD 21853-1358
Phone number: 410-651-5151
Mailing Address
Ms. JACKLYN ALIZA PIVOVAROV DDS
PO BOX 1978
SALISBURY, MD 21802-1978
Phone number: 410-749-1015
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