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Ivy 2 Dental Pllc
Pediatric Dentist in Glendale, Arizona
NPI 1306372503

Ivy 2 Dental Pllc is a Pediatric Dentist based in Glendale, AZ and is specialized in Pediatric Dentistry. Ivy 2 Dental Pllc practices in Glendale, AZ. The NPI Number for Ivy 2 Dental Pllc is 1306372503 and holds a License No. 7256 (Arizona).

The current practice location address for Ivy 2 Dental Pllc is 5144 W Olive Ave, Glendale, AZ and can be reached out via phone at 623-939-9944.

Location: 5144 W Olive Ave, Glendale, AZ, 85302-4209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306372503
Provider Name
Ivy 2 Dental Pllc
Credential
Provider Entity Type
Organization
Address
5144 W Olive Ave, Glendale, AZ, 85302-4209
Phone Number
623-939-9944
Fax Number
Provider Enumeration Date
05/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274792 05 AZ
institution
Provider Business Practice Location Address Details
Address
5144 W Olive Ave
City
Glendale
State
Arizona
Zip
85302-4209
Phone Number
623-939-9944
Fax Number
person
Provider Business Mailing Address Details
Address
5144 W Olive Ave
City
Glendale
State
Arizona
Zip
85302-4209
Phone Number
623-939-9944
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7256 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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