CARLOS R IBANEZ

CHARLOTTESVILLE, VA
NPI1154327005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VA  0401412224)
Enumeration Date2005-06-24
Last Update Date2018-10-17
Business Address
CARLOS R IBANEZ DDS
1415 ROLKIN COURT SUITE 101
CHARLOTTESVILLE, VA 22911
Phone number: 434-295-0911
Mailing Address
CARLOS R IBANEZ DDS
1415 ROLKIN COURT SUITE 101
CHARLOTTESVILLE, VA 22911
Phone number: 434-295-0911