Individual
DR. SIMONA IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612
(813) 866-0930
(813) 405-3722
Mailing address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN23345
FL
Other
Enumeration date
06/25/2018
Last updated
08/07/2019
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