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Individual
MENACHEM MENDEL IVRY
Active
Individual
MENACHEM MENDEL IVRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14196
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DRPM3075
FL
Other
Enumeration date
04/03/2025
Last updated
06/22/2026
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