| Ivory Dental Group Llc | |
|
4270 Aloma Ave Ste 130 Winter Park FL 32792-9366 | |
| (407) 813-1788 | |
| Not Available |
| Full Name | Ivory Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4270 Aloma Ave Ste 130, Winter Park, Florida |
| Authorized Official Name and Position | Lina Yu (OWNER) |
| Authorized Official Contact | 5613869106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Dental Group Llc 9209 Smithies St Orlando FL 32827-3840 Ph: () - | Ivory Dental Group Llc 4270 Aloma Ave Ste 130 Winter Park FL 32792-9366 Ph: (407) 813-1788 |
| NPI Number | 1710580014 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710580014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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