Provider Demographics
NPI:1891939211
Name:KIVEL, ARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARON
Middle Name:
Last Name:KIVEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-2831
Mailing Address - Country:US
Mailing Address - Phone:310-254-7002
Mailing Address - Fax:
Practice Address - Street 1:1815 VIA EL PRADO
Practice Address - Street 2:STE 200
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5722
Practice Address - Country:US
Practice Address - Phone:310-316-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53812122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist