DMITRIY IVANOV

LOS ANGELES, CA
NPI1891142055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  64494)
Enumeration Date2016-05-18
Last Update Date2016-05-18
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
3140 SAWTELLE BLVD APT 305
LOS ANGELES, CA 90066-1468
Phone number: 310-926-8985
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