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Organization

IVY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIN BANG DDS (DENTIST)
(770) 619-2909
Entity
Organization

Contact information

Practice address
11775 NORTHFALL LN, ALPHARETTA, GA 30004-7978
(770) 619-2909
(770) 619-2939
Mailing address
PO BOX 80097, CHAMBLEE, GA 30366-0097
(770) 619-2909
(770) 619-2939

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011829
GA

Other

Enumeration date
02/27/2007
Last updated
12/21/2007
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