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NPI 1346713765

IndividualActive

Cody Dunivin, LD

NPI 1346713765 · Denturist · Longview, WA

Provider details

NPI number: 1346713765
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Male
Sole proprietor: No
License: DN60869545 (WA)

Practice location

1339 Commerce Ave Ste 309a

Longview, WA 98632-3738

Phone: (360) 232-8756

More WA providers

Mailing address

1339 Commerce Ave Ste 309a

Longview, WA 98632-3738

Registry dates

Enumerated: 2019-01-08
Last updated: 2021-06-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cody Dunivin, LD — NPI 1346713765, Longview, WA | NPI Central