Deborah Ivanoff

NPI #1699044941 in Nome, Alaska

Provider Information

NPI Number: 1699044941
Entity Type: Individual
Name: Deborah Ivanoff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Dec 15, 2011
Last Updated: Dec 15, 2011

Practice Location

Address: 306 WEST 5TH AVE
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (907) 443-3309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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