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1811024078
IVY DENTISTRY LLC
ALPHARETTA, GA
NPI
1811024078
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Entity Type
Organization
Authorized Contact
ERIN BANG
Dentist
770-619-2909
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN011829)
Enumeration Date
2007-02-27
Last Update Date
2007-12-21
Business Address
IVY DENTISTRY LLC
11775 NORTHFALL LN
ALPHARETTA, GA 30004-7978
Phone number: 770-619-2909
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Mailing Address
IVY DENTISTRY LLC
PO BOX 80097
CHAMBLEE, GA 30366-0097
Phone number: 770-619-2909
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