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JEFFREY DAVID IVES

>> Dentist >> Dental Providers

Registrant NPI Number: 1588938229

Individual Registrant:
 JEFFREY DAVID IVES 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
222 E CHALAN SANTO PAPA #304 REFLECTION CENTER HAGATNA, GU 96910-5161 US
Tel: 671-472-6824  Fax: --

Contact information for business:
222 E CHALAN SANTO PAPA #304 REFLECTION CENTER HAGATNA, GU 96910-5161 US
Tel: 671-472-6824  Fax: 671-472-6824

Registration Information:
NPI: 1588938229
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
GUD728

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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