Organization
DMITRIY IVANOV, DDS DENTAL CORP
Active
Other names
Precision Periodontal and Implant Center Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY V IVANOV DDS (OWNER)
(310) 926-8985
Entity
Organization
Contact information
Practice address
390 N PACIFIC COAST HWY STE 1070, EL SEGUNDO, CA 90245-4483
(310) 708-3938
Mailing address
2406 MATHEWS AVE UNIT A, REDONDO BEACH, CA 90278-5503
(310) 926-8985
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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