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Organization
DMITRIY IVANOV, DDS DENTAL CORP
Active
Organization
DMITRIY IVANOV, DDS DENTAL CORP
Active
Other names
Precision Periodontal and Implant Center Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY V IVANOV DDS (OWNER)
(310) 926-8985
Entity
Organization
Contact information
Practice address
390 N PACIFIC COAST HWY STE 1070, EL SEGUNDO, CA 90245-4483
(310) 708-3938
Mailing address
2406 MATHEWS AVE UNIT A, REDONDO BEACH, CA 90278-5503
(310) 926-8985
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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