Organization
GREGORY M IVY DDS AND CECILIA YKEDA DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA YKEDA DDS (DENTIST)
(703) 644-5955
Entity
Organization
Contact information
Practice address
8342 TRAFORD LANE, SPRINGFIELD, VA 22152-1638
(703) 644-5955
(703) 644-1337
Mailing address
8342 TRAFORD LANE, SPRINGFIELD, VA 22152-1638
(703) 644-5955
(703) 644-1337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410477
VA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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