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Ivy Fua, DDS
Pediatric Dentist in Los Angeles, California
NPI 1710410667

Ivy Fua is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Ivy Fua practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Ivy Fua is 1710410667 and holds a License No. 00000 (California).

The current practice location address for Ivy Fua is 925 W 34Th St, Los Angeles, CA and can be reached out via phone at 213-740-0412.

Location: 925 W 34Th St, Los Angeles, CA, 90015-2873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710410667
Provider Name
Ivy Fua
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
925 W 34Th St, Los Angeles, CA, 90015-2873
Phone Number
213-740-0412
Fax Number
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
925 W 34Th St
City
Los Angeles
State
California
Zip
90089-0058
Phone Number
213-740-0412
Fax Number
person
Provider Business Mailing Address Details
Address
925 W 34Th St
City
Los Angeles
State
California
Zip
90089-0058
Phone Number
213-740-0412
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
00000 (California)
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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