Carlos R Ibanez, DDS
NPI #1154327005 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1154327005
- Entity Type
- Individual
- Name
- Carlos R Ibanez, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 1415 ROLKIN COURT
- Address 2
- SUITE 101
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22911
- Phone
- (434) 295-0911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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