Provider Demographics
NPI:1942429303
Name:IONTCHEVA-BAREHMI, IVETA (DMD, MS, DSC,)
Entity Type:Individual
Prefix:DR
First Name:IVETA
Middle Name:
Last Name:IONTCHEVA-BAREHMI
Suffix:
Gender:F
Credentials:DMD, MS, DSC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 BEACON STREET SUITE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-1411
Mailing Address - Country:US
Mailing Address - Phone:617-868-1516
Mailing Address - Fax:617-730-8989
Practice Address - Street 1:1842 BEACON STREET SUITE 302
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-1411
Practice Address - Country:US
Practice Address - Phone:617-868-1516
Practice Address - Fax:617-730-8989
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209301223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics