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Organization
IVY DENTAL GROUP LLC
Active
Organization
IVY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETA MOKATZ (MEMBER)
(323) 936-9997
Entity
Organization
Contact information
Practice address
6320 COMMODORE SLOAT DR., #1, LOS ANGELES, CA 90048
(323) 936-9997
(323) 936-9998
Mailing address
6320 COMMODORE SLOAT DR., #1, LOS ANGELES, CA 90048
(323) 936-9997
(323) 936-9998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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