Individual
ALEXANDER EUGENE IVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17776 HIGHWAY 12, SONOMA, CA 95476-3629
(707) 935-8200
(707) 935-8272
Mailing address
4411 LOVALL VALLEY ROAD, SONOMA, CA 95476-3629
(707) 938-1510
(707) 935-1425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26653
CA
Other
Enumeration date
09/26/2006
Last updated
05/06/2009
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