DR. Gueorgui Ivanov, D.M.D.
NPI #1104922137 in Salem, Massachusetts
Provider Information
- NPI Number
- 1104922137
- Entity Type
- Individual
- Name
- DR. Gueorgui Ivanov, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 226 ESSEX ST
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-3705
- Phone
- (978) 744-2480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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