Individual
IVANNA IVANIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7101
Mailing address
4436 CLAYBROOKE CT, LOTHIAN, MD 20711-2305
(443) 346-4420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
265124
MD
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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