DR. Gregory Martin Ivy, D.D.S.
NPI #1982825410 in Springfield, Virginia
Provider Information
- NPI Number
- 1982825410
- Entity Type
- Individual
- Name
- DR. Gregory Martin Ivy, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8342 TRAFORD LANE
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-1638
- Phone
- (703) 644-5955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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