Individual
SUNNY IVANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 FOOTHILL BLVD., GLENDALE, GLENDALE, CA 91224
(818) 640-5004
Mailing address
3300 FOOTHILL BLVD, GLENDALE, GLENDALE, CA 91224
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
265
CA
Other
Enumeration date
08/07/2009
Last updated
06/18/2010
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