| NPI | 1912662602 |
|---|---|
| Doing Business As | IVORY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAURINKUMAR PATEL Member 334-546-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |