Individual provider · Type 1 NPI

Ivy Fua, DDS

Pediatric Dentistry · Los Angeles, CA

NPI number 1710410667 Active

Practice location

925 W 34th St
Los Angeles, CA 90089-0058

Call (213) 740-0412 Map

Mailing address

1360 S Figueroa St
Los Angeles, CA 90015-2873

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X00000 (CA)

Pediatric Dentistry: 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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About NPI 1710410667

Ivy Fua, DDS's National Provider Identifier is 1710410667, issued on Apr 7, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 7, 2017.