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1710410667
IVY FUA
LOS ANGELES, CA
NPI
1710410667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 00000)
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- IVY FUA DDS
925 W 34TH ST
LOS ANGELES, CA 90089-0058
Phone number: 213-740-0412
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Mailing Address
-- IVY FUA DDS
1360 S FIGUEROA ST
LOS ANGELES, CA 90015-2873
Phone number:
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