Individual
DR. BENJAMIN MICHAEL IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2400 ARDMORE BLVD STE 402, PITTSBURGH, PA 15221-5299
(412) 351-3757
Mailing address
2400 ARDMORE BLVD STE 402, PITTSBURGH, PA 15221-5299
(412) 351-3757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043158
PA
Other
Enumeration date
06/21/2021
Last updated
01/30/2024
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