| Pavel I Ivanov Dmd Ms Pa | |
|
12866 Biscayne Blvd North Miami FL 33181-2007 | |
| (786) 540-1919 | |
| Not Available |
| Full Name | Pavel I Ivanov Dmd Ms Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12866 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Pavel Ivanov (OWNER) |
| Authorized Official Contact | 7865401919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavel I Ivanov Dmd Ms Pa 12866 Biscayne Blvd North Miami FL 33181-2007 Ph: (786) 540-1919 | Pavel I Ivanov Dmd Ms Pa 12866 Biscayne Blvd North Miami FL 33181-2007 Ph: (786) 540-1919 |
| NPI Number | 1306485776 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306485776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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