Individual
IVY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 MONROE ST, PENSACOLA, FL 32514-7656
(850) 484-4844
Mailing address
2850 MONROE ST, PENSACOLA, FL 32514-7656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29078
FL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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