Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN MAMO BIVEN, DDS MS
Active Sole ProprietorDR. GLENN MAMO BIVEN, DDS MS is a Endodontics healthcare provider located in AIEA, Hawaii. NPI 1417107640 is currently active in the NPPES registry. Verify at CMS.
Endodontics · AIEA, HI
Registration Details
- NPI Number
- 1417107640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2008 (17.850023910887 yrs)
- Last Updated
- Sep 24, 2008
- License
-
673 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
98211 PALI MOMI ST#412AIEA, HI, 967014318Browse HI providers · Browse ZIP 96701
- Phone
- 8084880822
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in AIEA, HI
| Name | Credential | NPI |
|---|---|---|
| YOO JUNG CHUNG | — | 1619699782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.