| NPI | 1629186176 |
|---|---|
| Doing Business As | IVY ENDODONTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HWANGSUK KIM Owner 714-530-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 36953) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |