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1154327005
CARLOS R IBANEZ
CHARLOTTESVILLE, VA
NPI
1154327005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VA 0401412224)
Enumeration Date
2005-06-24
Last Update Date
2018-10-17
Business Address
CARLOS R IBANEZ DDS
1415 ROLKIN COURT SUITE 101
CHARLOTTESVILLE, VA 22911
Phone number: 434-295-0911
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Mailing Address
CARLOS R IBANEZ DDS
1415 ROLKIN COURT SUITE 101
CHARLOTTESVILLE, VA 22911
Phone number: 434-295-0911
Copy
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