| Dmitriy Pivnik Dds Inc | |
|
18455 Technology Dr Morgan Hill CA 95037-2822 | |
| (916) 783-5239 | |
| Not Available |
| Full Name | Dmitriy Pivnik Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18455 Technology Dr, Morgan Hill, California |
| Authorized Official Name and Position | Dmitriy Pivnik (OFFICER) |
| Authorized Official Contact | 4154123158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitriy Pivnik Dds Inc 18455 Technology Dr Morgan Hill CA 95037-2822 Ph: (562) 577-5641 | Dmitriy Pivnik Dds Inc 18455 Technology Dr Morgan Hill CA 95037-2822 Ph: (916) 783-5239 |
| NPI Number | 1336696426 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336696426 | NPI | - | NPPES |
| 1275991721 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 100181 (California) | Primary |
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