| NPI | 1568234169 |
|---|---|
| Doing Business As | IVORY DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MICHELLE NGUYEN Dentist/Owner 469-598-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2024-04-26 |