| NPI | 1174304075 |
|---|---|
| Doing Business As | IVY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN LONG HOANG VU Dentist 714-486-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |