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Contact Information

IVORY DENTAL PLLC
424 N. WARREN AVE.
NEWPORT, WA99156
 Phone: 509-447-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for IVORY DENTAL PLLC · (Female)

NPI # 1275027591
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2018
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # DE60855077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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