| NPI | 1982882072 |
|---|---|
| Doing Business As | IVY ENDODONTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL H KIM President 714-530-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DT36953) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |