| Krivarchka Family Dentistry P.c. | |
|
1511 W Holly Blvd Brandon SD 57005-2658 | |
| (605) 951-1084 | |
| Not Available |
| Full Name | Krivarchka Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1511 W Holly Blvd, Brandon, South Dakota |
| Authorized Official Name and Position | Matt Victor Krivarchka (DENTIST) |
| Authorized Official Contact | 6059511084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krivarchka Family Dentistry P.c. 7608 W Grinnell Cir Sioux Falls SD 57106-7669 Ph: (605) 951-1084 | Krivarchka Family Dentistry P.c. 1511 W Holly Blvd Brandon SD 57005-2658 Ph: (605) 951-1084 |
| NPI Number | 1760738967 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760738967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D0911 (South Dakota) | Primary |
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