GREGORY MARTIN IVY

SPRINGFIELD, VA
NPI1982825410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401005614)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. GREGORY MARTIN IVY D.D.S.
8342 TRAFORD LANE
SPRINGFIELD, VA 22152-1638
Phone number: 703-644-5955
Mailing Address
Dr. GREGORY MARTIN IVY D.D.S.
8342 TRAFORD LANE
SPRINGFIELD, VA 22152-1638
Phone number: 703-644-5955
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