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Individual
IVAN STOJANOV
Active
Individual
IVAN STOJANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
30.024886
OH
207ZP0101X
Anatomic Pathology Physician
30.024886
OH
Other
Enumeration date
06/24/2013
Last updated
09/21/2022
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