Ivanov, Dmitriy
Ivanov, Dmitriy is an sole proprietor health care provider with primary practice located at 3140 Sawtelle Blvd Apt 305 , Los Angeles CA 90066-1468. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Ivanov, Dmitriy can be contacted via phone (310) 926-8985.Contact Information
Primary practice address
3140 Sawtelle Blvd Apt 305
Los Angeles CA 90066-1468
Phone: (310) 926-8985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 64494 | California |
| Dental Providers / Periodontics | 1223P0300X | 64494 | California |
Profile Details
| NPI number | 1891142055 |
|---|---|
| LBN Legal business name | Ivanov, Dmitriy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2016 |
| Last updated | Jul 30th, 2025 - about last year |
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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