Alexander Eugene Ivanoff, DDS
NPI #1013018274 in Sonoma, California
Provider Information
- NPI Number
- 1013018274
- Entity Type
- Individual
- Name
- Alexander Eugene Ivanoff, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 26, 2006
- Last Updated
- May 6, 2009
Practice Location
- Address
- 17776 HIGHWAY 12
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-3629
- Phone
- (707) 935-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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