Individual
DR. IVAN GEORGIEV GEORGIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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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