Ivy Burge, RDA
Ivy Burge, RDA is a Dental Assistant in Santa Rosa, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2798 Yulupa Ave Ste 3Santa Rosa, CA 95405-8570
Phone: (707) 542-7299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X · Licence RDA92988 (CA) |
|---|
Record details
| NPI number | 1881213379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDA |
| Sole proprietor | No |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | 5220 Fulton Rd Apt 6, Santa Rosa, CA 95403-1242 |