DEBORAH IVANOFF

NOME, AK
NPI1699044941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: AK  06-029-EFDHA1)
Enumeration Date2011-12-15
Last Update Date2011-12-15
Business Address
-- DEBORAH IVANOFF
306 WEST 5TH AVE
NOME, AK 99762
Phone number: 907-443-3309
Mailing Address
-- DEBORAH IVANOFF
PO BOX 966
NOME, AK 99762
Phone number: 907-443-3309