Individual
DR. GUEORGUI IVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
226 ESSEX ST, SALEM, MA 01970-3705
(978) 744-2480
(978) 744-2918
Mailing address
226 ESSEX ST, SALEM, MA 01970-3705
(978) 744-2480
(978) 744-2918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21093
MA
Other
Enumeration date
09/16/2006
Last updated
10/15/2013
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