NPI 1699044941

Deborah Ivanoff

Practitioner Dental Assistant Nome, AK

Practice location

Address: 306 West 5th Ave, Nome, AK 99762
Phone: (907) 443-3309
Mailing address: PO Box 966, Nome, AK 99762

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 06-029-EFDHA1 (AK)

Other Dental Assistant providers in Alaska →

Registry record

NPI: 1699044941
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2011
Record last updated: 15 Dec 2011

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.