person
Mr. Cody M Dunivin, LD
Denturist in Longview, Washington
NPI 1346713765

Cody M Dunivin is a Denturist based in Longview, WA. Cody M Dunivin practices in Longview, WA and has the professional credentials of LD. The NPI Number for Cody M Dunivin is 1346713765 and holds a License No. DN60869545 (Washington).

The current practice location address for Cody M Dunivin is 1339 Commerce Ave Ste 309A, Longview, WA and can be reached out via phone at 360-232-8756.

Location: 1339 Commerce Ave Ste 309A, Longview, WA, 98632-3738
person
Provider Profile Details
NPI Number
1346713765
Provider Name
Cody M Dunivin
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
1339 Commerce Ave Ste 309A, Longview, WA, 98632-3738
Phone Number
360-232-8756
Fax Number
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1339 Commerce Ave Ste 309A
City
State
Zip
98632-3738
Phone Number
360-232-8756
Fax Number
person
Provider Business Mailing Address Details
Address
1339 Commerce Ave Ste 309A
City
State
Zip
98632-3738
Phone Number
360-232-8756
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN60869545 (Washington)
Definition
Definition to come.
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