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1144409947
BOGDAN KONSTANTINOV IVANOV
TAMPA, FL
NPI
1144409947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN17920)
Enumeration Date
2007-10-29
Last Update Date
2017-03-31
Business Address
Dr. BOGDAN KONSTANTINOV IVANOV D.M.D.
1105 E KENNEDY BLVD SCC DENTAL CLINIC - HCHD
TAMPA, FL 33602-3511
Phone number: 352-397-6186
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Mailing Address
Dr. BOGDAN KONSTANTINOV IVANOV D.M.D.
1105 E KENNEDY BLVD SCC DENTAL CLINIC - HCHD
TAMPA, FL 33602-3511
Phone number: 352-397-6186
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