Individual provider · Type 1 NPI

Ivan Ruvinov, DDS

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1306525944 Active

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Call (480) 265-8005 Map

Fax (623) 223-7073

Mailing address

1666 S Dobson Rd Apt 3075
Mesa, AZ 85202-1610

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306525944

Ivan Ruvinov, DDS's National Provider Identifier is 1306525944, issued on Jul 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 12, 2023.