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Individual
DR. JOSEPH WILLIAM IVORY
Active
Individual
DR. JOSEPH WILLIAM IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS08292
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS08292
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DNF000430
GA
Other
Enumeration date
01/10/2006
Last updated
12/06/2019
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