| NPI | 1902542129 |
|---|---|
| Doing Business As | IVY ENDOTONTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | MARY JUNGHYUN UM President 714-530-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |