Organization · Type 2 NPI

Ivy Lane Dentistry

General Practice Dentistry · San Antonio, TX

NPI number 1467539577 Active

About NPI 1467539577

Ivy Lane Dentistry's National Provider Identifier is 1467539577, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Apr 7, 2010.