| NPI | 1871850818 |
|---|---|
| Doing Business As | IVY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DAVID Z LI Owner 626-445-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-09-13 |