Ivy Dental Inc.

NPI #1417980665 in Las Vegas, Nevada

Provider Information

NPI Number: 1417980665
Entity Type: Organization
Organization Name: Ivy Dental Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 9, 2006
Last Updated: Jan 24, 2008

Practice Location

Address: 740 N EASTERN AVE
Address 2: #120
City: Las Vegas
State: Nevada
ZIP Code: 89101-2850
Phone: (702) 678-6218

Authorized Official

Name: DR. RICHARD Y.Y. WU, D.D.S.
Title: DOCTOR/PRESIDENT
Phone: (702) 678-6218

Specialties & Taxonomy Codes

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

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