Richard Ly

NPI #1639684913 in San Benito, Texas

Provider Information

NPI Number
1639684913
Entity Type
Individual
Name
Richard Ly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 7, 2017
Last Updated
Dec 7, 2017

Practice Location

Address
1141 W US HIGHWAY 77 STE G
State
Texas
ZIP Code
78586-4398
Phone
(956) 413-7539

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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