Ivan Roman DDS

NPI 1023001831 - Dentist - 1223P0300X

NPI Details
NPI 1023001831
Gender Male
Enumeration Date 08/26/2005
Last Updated 11/21/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
3259 CATLIN AVE
NAVAL HEALTH CLINIC QUANTICO
QUANTICO VA, 22134, US
Phone (703) 784-2802
Fax
Business Location
3259 CATLIN AVE
NAVAL HEALTH CLINIC QUANTICO
QUANTICO VA, 22134, US
Phone (703) 784-2802
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State California
License Number 40114
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According to our database, Dr. Ivan Roman DDS NPI is 1023001831, taxonomy code is 1223P0300X and license number is 40114, license state is located at California. Ivan Roman DDS physically located at 3259 Catlin Ave, Quantico VA, 22134. NPI Number Ivan Roman DDS has the Individual type.

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1023001831 NPI number is provided on an as is basis without warranty of any kind. 1023001831 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Roman DDS are for informational purposes only.