Ivory Dental Pllc

NPI #1275027591 in Newport, Washington

Provider Information

NPI Number: 1275027591
Entity Type: Organization
Organization Name: Ivory Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 424 N. WARREN AVE.
City: Newport
State: Washington
ZIP Code: 99156
Phone: (509) 447-5960

Authorized Official

Name: BENJAMIN HULL
Title: OWNER/PRESIDENT
Phone: (208) 263-1412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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