Individual
DR. IVAN GEORGIEV GEORGIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
703 MAIN ST, OMFS CLINIC, PATERSON, NJ 07503-2621
(973) 754-2288
Mailing address
9-12 HENDERSON BLVD, 1ST. FL., FAIR LAWN, NJ 07410-1536
(201) 847-1365
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DR02616
NJ
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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