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 |