Organization
IVY 2 DENTAL, PLLC
Active
Other names
Desert Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMAR IMTIAZ (OWNER)
(978) 328-2886
Entity
Organization
Contact information
Practice address
23478 N. SUNDANCE PKWY WEST, SUITE 103, BUCKEYE, AZ 85326-3118
(623) 444-9999
Mailing address
23374 W YUMA RD, STE. 102, BUCKEYE, AZ 85326-3118
(978) 328-2886
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7256
AZ
Other
Enumeration date
05/01/2012
Last updated
04/23/2024
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