| Ivy Institute | |
|
301 W Huntington Dr Ste. 520 Arcadia CA 91007-3462 | |
| (626) 445-8530 | |
| (626) 445-8540 |
| Full Name | Ivy Institute |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 301 W Huntington Dr, Arcadia, California |
| Authorized Official Name and Position | David Z Li (OWNER) |
| Authorized Official Contact | 6264458530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Institute 301 W Huntington Dr Ste. 520 Arcadia CA 91007-3462 Ph: (626) 445-8530 | Ivy Institute 301 W Huntington Dr Ste. 520 Arcadia CA 91007-3462 Ph: (626) 445-8530 |
| NPI Number | 1871850818 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871850818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
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