Jeffrey David Ives

NPI #1588938229 in Hagatna, Guam

Provider Information

NPI Number: 1588938229
Entity Type: Individual
Name: Jeffrey David Ives
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 222 E CHALAN SANTO PAPA
Address 2: #304 REFLECTION CENTER
City: Hagatna
State: Guam
ZIP Code: 96910-5161
Phone: (671) 472-6824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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