IVY BURGE

SANTA ROSA, CA
NPI1881213379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: CA  RDA92988)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
IVY BURGE RDA
2798 YULUPA AVE STE 3
SANTA ROSA, CA 95405-8570
Phone number: 707-542-7299
Mailing Address
IVY BURGE RDA
5220 FULTON RD APT 6
SANTA ROSA, CA 95403-1242
Phone number: 707-889-4306