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 |