Organization · Type 2 NPI
Ivanov Miami Lakes PLLC
Orthodontics and Dentofacial Orthopedics Dentistry · Miami Lakes, FL
Practice location
16375 NW 67th Ave
Miami Lakes, FL 33014-6044
Fax (786) 946-0019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1245038462
Ivanov Miami Lakes PLLC's National Provider Identifier is 1245038462, issued on Mar 4, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Miami Lakes, FL. The record was last updated on Mar 4, 2025.