| NPI | 1164183562 |
|---|---|
| Doing Business As | IVY CITY PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JARRETT CALDWELL Principal 202-669-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-03-31 |