Individual
DR. CHRISTOPHER IVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7 N KNOLL RD STE 6, MILL VALLEY, CA 94941-1665
(909) 274-8183
Mailing address
773 17TH AVE, SAN FRANCISCO, CA 94121-3820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109805
CA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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