Jonathan Ly
NPI #1487007811 in Simi Valley, California
Provider Information
- NPI Number
- 1487007811
- Entity Type
- Individual
- Name
- Jonathan Ly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2016
- Last Updated
- Jul 21, 2016
Practice Location
- Address
- 1975 ROYAL AVE STE 1
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-4603
- Phone
- (805) 526-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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