| NPI | 1932754611 |
|---|---|
| Doing Business As | IVORY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JIEUN JUN Dentist 470-219-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |