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1578883419
ANDREY IVANOV
BROOKLYN, NY
NPI
1578883419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 049734)
Enumeration Date
2010-06-02
Last Update Date
2010-06-02
Business Address
Dr. ANDREY IVANOV DDS
575 FULTON ST 2ND FLOOR
BROOKLYN, NY 11201-5309
Phone number: 718-596-5378
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Mailing Address
Dr. ANDREY IVANOV DDS
803 PLAZA DR
WOODBRIDGE, NJ 07095-1114
Phone number: 732-636-7624
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