Individual
IVANA ADAMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 WILLARD ST, SUITE 1B, QUINCY, MA 02169-1200
(617) 471-8640
Mailing address
111 WILLARD ST STE 1B, QUINCY, MA 02169-1200
(617) 471-8640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21465-1
MA
Other
Enumeration date
12/26/2006
Last updated
07/21/2020
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