Organization
IVY HILL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA X. COOK DMD, MPH (PRESIDENT)
(973) 374-5200
Entity
Organization
Contact information
Practice address
679 IRVINGTON AVE, NEWARK, NJ 07106-3306
(973) 374-5200
Mailing address
679 IRVINGTON AVE, NEWARK, NJ 07106-3306
(973) 374-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02036903
NJ
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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