| NPI | 1386864197 |
|---|---|
| Doing Business As | IVY DENTAL EVERETT PLLC |
| Entity Type | Organization |
| Authorized Contact | YOON SUK LEE Owner 425-252-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009491) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-07-22 |