DR. Duong Dai Ly, DDS

NPI #1548929821 in Centralia, Washington

Provider Information

NPI Number: 1548929821
Entity Type: Individual
Name: DR. Duong Dai Ly, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 14, 2021
Last Updated: Oct 18, 2024

Practice Location

Address: 1407 KRESKY AVE
City: Centralia
State: Washington
ZIP Code: 98531-8979
Phone: (360) 736-9397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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