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1790020824
PAVEL IVANOV IVANOV
NORTH MIAMI, FL
NPI
1790020824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN19160)
Enumeration Date
2012-11-29
Last Update Date
2020-01-02
Business Address
Dr. PAVEL IVANOV IVANOV D.M.D.
12866 BISCAYNE BLVD
NORTH MIAMI, FL 33181-2007
Phone number: 786-540-1919
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Mailing Address
Dr. PAVEL IVANOV IVANOV D.M.D.
12866 BISCAYNE BLVD
NORTH MIAMI, FL 33181-2007
Phone number:
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