Organization
UM DENTAL INC
Active
Other names
IVY ENDOTONTIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JUNGHYUN UM (PRESIDENT)
(714) 530-7888
Entity
Organization
Contact information
Practice address
12865 MAIN ST STE 201, GARDEN GROVE, CA 92840-8200
(714) 530-7888
(714) 530-1344
Mailing address
12865 MAIN ST STE 201, GARDEN GROVE, CA 92840-8200
(714) 530-7888
(714) 530-1344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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