Individual
DR. AC IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
420 BLOSSOM HILL, SAN JOSE, CA 95123
(408) 281-8033
Mailing address
420 BLOSSOM HILL, SAN JOSE, CA 95123
(408) 281-8033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CALIF28457
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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