DMITRIY IVANOV

LOS ANGELES, CA
NPI1891142055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  64494)
Additional Taxonomies122300000X Dentist
(Licence: CA  64494)
Enumeration Date2016-05-18
Last Update Date2025-07-30
Business Address
Dr. DMITRIY IVANOV DDS
3140 SAWTELLE BLVD APT 305
LOS ANGELES, CA 90066-1468
Phone number: 310-926-8985
Mailing Address
Dr. DMITRIY IVANOV DDS
2406 MATHEWS AVE UNIT A
REDONDO BEACH, CA 90278-5503
Phone number: 310-926-8985