| NPI | 1619346517 |
|---|---|
| Doing Business As | IVY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SAMEENA AHMED President 916-368-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49441) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-10-14 |