Ivy Dentistry LLC

NPI #1811024078 in Alpharetta, Georgia

Provider Information

NPI Number: 1811024078
Entity Type: Organization
Organization Name: Ivy Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 11775 NORTHFALL LN
City: Alpharetta
State: Georgia
ZIP Code: 30004-7978
Phone: (770) 619-2909

Authorized Official

Name: DR. ERIN BANG, DDS
Title: DENTIST
Phone: (770) 619-2909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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