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1356047369
IVORY LANE LLC
SCOTTSDALE, AZ
NPI
1356047369
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Entity Type
Organization
Authorized Contact
STEPHANIE PAGELS
Dentist
775-771-2197
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
IVORY LANE LLC
8609 E CLYDESDALE TRL
SCOTTSDALE, AZ 85258-1456
Phone number: 775-771-2197
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Mailing Address
IVORY LANE LLC
8609 E CLYDESDALE TRL
SCOTTSDALE, AZ 85258-1456
Phone number: 775-771-2197
Copy
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