Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN YANCARLO MENDOZA, DMD
Active Sole ProprietorIVAN YANCARLO MENDOZA, DMD is a Dentist healthcare provider located in SOUTH WALPOLE, Massachusetts. NPI 1811467376 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOUTH WALPOLE, MA
Registration Details
- NPI Number
- 1811467376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2018 (7.7387658871884 yrs)
- Last Updated
- Nov 27, 2018
- License
-
DN1858166 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
178 SUMMER STSOUTH WALPOLE, MA, 020711044Browse MA providers · Browse ZIP 02071
- Phone
- 3057667626
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.