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Dr. Ivan Roman, DDS
Periodontist in Quantico, Virginia
NPI 1023001831

Ivan Roman is a Periodontist based in Quantico, VA and is specialized in Periodontics. Ivan Roman practices in Quantico, VA and has the professional credentials of DDS. The NPI Number for Ivan Roman is 1023001831 and holds a License No. 40114 (Virginia).

The current practice location address for Ivan Roman is 3259 Catlin Ave, Quantico, VA and can be reached out via phone at 703-784-2802.

Location: 3259 Catlin Ave, Quantico, VA, 22134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023001831
Provider Name
Ivan Roman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3259 Catlin Ave, Quantico, VA, 22134
Phone Number
703-784-2802
Fax Number
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3259 Catlin Ave
City
Quantico
State
Virginia
Zip
22134
Phone Number
703-784-2802
Fax Number
person
Provider Business Mailing Address Details
Address
3259 Catlin Ave
City
Quantico
State
Virginia
Zip
22134
Phone Number
703-784-2802
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
40114 (California)
Definition
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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