NPI 1023001831
Ivan Roman, DDS
Practice location
- Address
- Psc 482 Box 1600, Fpo, AP 96362-0017
- Phone
- (098) 971-9355
- Mailing address
- 3259 Catlin Ave Naval Health Clinic Quantico, Quantico, VA 22134
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1023001831
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Aug 2005
- Record last updated
- 25 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.