Ivy Hill Dental Center

NPI #1699275594 in Newark, New Jersey

Provider Information

NPI Number: 1699275594
Entity Type: Organization
Organization Name: Ivy Hill Dental Center
Primary Specialty: Dentist
Enumeration Date: Feb 16, 2018
Last Updated: Feb 16, 2018

Practice Location

Address: 679 IRVINGTON AVE
City: Newark
State: New Jersey
ZIP Code: 07106-3306
Phone: (973) 374-5200

Authorized Official

Name: DR. TONYA X. COOK, DMD, MPH
Title: PRESIDENT
Phone: (973) 374-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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