SearchMissouri390200000X

Brandon Tivis, D.D.S

NPI 1770931735 · on the registry since 2016 · sole proprietor

Practice

Address
3318 S 9th St
Saint Louis, MO 63118
Phone
(806) 789-5272

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2016-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri