IVY FUA

LOS ANGELES, CA
NPI1710410667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  00000)
Enumeration Date2017-04-07
Last Update Date2017-04-07
Business Address
-- IVY FUA DDS
925 W 34TH ST
LOS ANGELES, CA 90089-0058
Phone number: 213-740-0412
Mailing Address
-- IVY FUA DDS
1360 S FIGUEROA ST
LOS ANGELES, CA 90015-2873
Phone number: