Jivan, Mitesh

Jivan, Mitesh is an sole proprietor health care provider with primary practice located at 2230 West Old Highway 441 , Mount Dora FL 32757-3508. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jivan, Mitesh can be contacted via phone (352) 383-2959.

Contact Information

Primary practice address
2230 West Old Highway 441 Mount Dora FL 32757-3508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18726 Florida

Profile Details

NPI number 1154559334
LBN Legal business name Jivan, Mitesh
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2009
Last updated Jan 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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