DR. Rebecca Paul Ivins, DMD

NPI #1356838221 in Canon City, Colorado

Provider Information

NPI Number: 1356838221
Entity Type: Individual
Name: DR. Rebecca Paul Ivins, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 17, 2018
Last Updated: Sep 29, 2020

Practice Location

Address: 121 N 6TH ST
City: Canon City
State: Colorado
ZIP Code: 81212-3329
Phone: (719) 275-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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