Ivy 2 Dental Pllc
NPI #1689100885 in Avondale, Arizona
Provider Information
- NPI Number
- 1689100885
- Entity Type
- Organization
- Organization Name
- Ivy 2 Dental Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVY 2 DENTAL PLLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 8, 2017
- Last Updated
- Jul 20, 2021
Practice Location
Authorized Official
- Name
- UMAR M IMTIAZ, DDS
- Title
- ASSOCIATE PROVIDER
- Phone
- (623) 444-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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