Gregory M Ivy Dds And Cecilia Ykeda Dds Plc | |
8342 Traford Lane Springfield VA 22152-1638 | |
(703) 644-5955 | |
(703) 644-1337 |
Full Name | Gregory M Ivy Dds And Cecilia Ykeda Dds Plc |
---|---|
Speciality | Dentist |
Location | 8342 Traford Lane, Springfield, Virginia |
Authorized Official Name and Position | Cecilia Ykeda (DENTIST) |
Authorized Official Contact | 7036445955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory M Ivy Dds And Cecilia Ykeda Dds Plc 8342 Traford Lane Springfield VA 22152-1638 Ph: (703) 644-5955 | Gregory M Ivy Dds And Cecilia Ykeda Dds Plc 8342 Traford Lane Springfield VA 22152-1638 Ph: (703) 644-5955 |
NPI Number | 1891867503 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891867503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401410477 (Virginia) | Primary |
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