Individual provider · Type 1 NPI

Dmitriy Ivanov, DDS

Periodontics · Los Angeles, CA

NPI number 1891142055 Active

Practice location

3140 Sawtelle Blvd Apt 305
Los Angeles, CA 90066-1468

Call (310) 926-8985 Map

Mailing address

2406 Mathews Ave Unit A
Redondo Beach, CA 90278-5503

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X64494 (CA)
Periodontics Primary 1223P0300X64494 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1891142055

Dmitriy Ivanov, DDS's National Provider Identifier is 1891142055, issued on May 18, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 30, 2025.