| NPI | 1679956296 |
|---|---|
| Doing Business As | IVY DENTAL |
| Entity Type | Organization |
| Authorized Contact | EMILY ALLISON HARDING President 502-370-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413096) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |