| NPI | 1679313076 |
|---|---|
| Doing Business As | IVY ORTHODONTICS & FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YASAS SHRI NALAKA JAYARATNE President 857-488-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |