Blong Roger Ly, DDS

NPI #1255302022 in Jamestown, California

Provider Information

NPI Number
1255302022
Entity Type
Individual
Name
Blong Roger Ly, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 30, 2006
Last Updated
Sep 16, 2013

Practice Location

Address
5100 OBYRNES FERRY RD
ZIP Code
95327-9102
Phone
(209) 984-5291

Specialties & Taxonomy Codes

Specialty
Dentist

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