Tk Ly Dental Corporation
NPI #1679803241 in Costa Mesa, California
Provider Information
- NPI Number
- 1679803241
- Entity Type
- Organization
- Organization Name
- Tk Ly Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 5, 2010
- Last Updated
- Jan 5, 2010
Practice Location
- Address
- 2023 HARBOR BLVD
- Address 2
- SUITE D
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-5552
- Phone
- (949) 646-9000
Authorized Official
- Name
- DR. TUANKIET QUOC LY, D.D.S
- Title
- PRESIDENT
- Phone
- (949) 646-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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