Ivanov, Pavel Ivanov

Ivanov, Pavel Ivanov is an sole proprietor health care provider with primary practice located at 12866 Biscayne Blvd , North Miami FL 33181-2007. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ivanov, Pavel Ivanov can be contacted via phone (786) 540-1919.

Contact Information

Primary practice address
12866 Biscayne Blvd North Miami FL 33181-2007
Phone: (786) 540-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN19160 Florida

Profile Details

NPI number 1790020824
LBN Legal business name Ivanov, Pavel Ivanov
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Jan 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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