| NPI | 1528711678 |
|---|---|
| Doing Business As | IV DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | IVETA MOKATZ Office Manager 310-920-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |