Individual
DR. ANNA VICTOROVNA IVANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
413 ALFRED ST STE 101, BIDDEFORD, ME 04005-3742
(207) 569-8167
Mailing address
413 ALFRED ST STE 101, BIDDEFORD, ME 04005-3742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4564
ME
Other
Enumeration date
06/20/2017
Last updated
02/22/2022
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