| Ivy Dental Group Llc | |
|
6320 Commodore Sloat Dr. #1 Los Angeles CA 90048 | |
| (323) 936-9997 | |
| (323) 936-9998 |
| Full Name | Ivy Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6320 Commodore Sloat Dr., Los Angeles, California |
| Authorized Official Name and Position | Iveta Mokatz (MEMBER) |
| Authorized Official Contact | 3239369997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Dental Group Llc 6320 Commodore Sloat Dr. #1 Los Angeles CA 90048 Ph: (323) 936-9997 | Ivy Dental Group Llc 6320 Commodore Sloat Dr. #1 Los Angeles CA 90048 Ph: (323) 936-9997 |
| NPI Number | 1538982251 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538982251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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