Individual
DR. IVAN RUVINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5835 E STILL CIR, MESA, AZ 85206-3618
(480) 265-8005
(623) 223-7073
Mailing address
1666 S DOBSON RD APT 3075, MESA, AZ 85202-1610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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