Individual
DR. CHRIS IVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25761 LORAIN RD, SUITE 102, NORTH OLMSTED, OH 44070-3368
(440) 734-6436
Mailing address
25761 LORAIN RD, SUITE 102, NORTH OLMSTED, OH 44070-3368
(440) 734-6436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-018768
OH
Other
Enumeration date
03/16/2007
Last updated
11/06/2009
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