Roman, Ivan
Roman, Ivan is an individual health care provider with primary practice located at 3259 Catlin Ave Naval Health Clinic Quantico, Quantico VA 22134. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Roman, Ivan can be contacted via phone (703) 784-2802.Contact Information
Primary practice address
3259 Catlin Ave Naval Health Clinic Quantico
Quantico VA 22134
Phone: (703) 784-2802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 40114 | California |
Profile Details
| NPI number | 1023001831 |
|---|---|
| LBN Legal business name | Roman, Ivan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Nov 21st, 2007 - about 17 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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