NPI: 1689100885
Provider Name: IVY 2 DENTAL PLLC
Former Legal Business Name: SILVERSTONE PEDIATRIC GROUP, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
13075 W MCDOWELL RD
SUITE D-100
AVONDALE, AZ
ZIP 85392
Phone: (623) 322-8999
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IVY 2 DENTAL PLLC is a pediatric dentistry dentist in Avondale, AZ. The provider is 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. IVY 2 DENTAL PLLC NPI is 1689100885. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Silverstone Pediatric Group, Pllc.
The provider's business location address is:
13075 W MCDOWELL RD
SUITE D-100
AVONDALE, AZ
ZIP 85392-436
Phone: (623) 322-8999
The provider's authorized official is Umar M Imtiaz .
The authorized official title is Associate Provider and has the following contact phone number (623) 444-9999.
The enumeration date for this NPI number is 5/8/2017 and was last updated on 7/20/2021.