Organization
IVY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD Y.Y. WU D.D.S. (DOCTOR/PRESIDENT)
(702) 678-6218
Entity
Organization
Contact information
Practice address
740 N EASTERN AVE, #120, LAS VEGAS, NV 89101-2850
(702) 678-6218
(702) 678-5102
Mailing address
740 N EASTERN AVE, #120, LAS VEGAS, NV 89101-2850
(702) 678-6218
(702) 678-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3468
NV
Other
Enumeration date
07/09/2006
Last updated
01/24/2008
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