DR. Phat T Ly, DMD

NPI #1720125966 in Ridgefield, Washington

Provider Information

NPI Number
1720125966
Entity Type
Individual
Name
DR. Phat T Ly, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jan 30, 2007
Last Updated
Dec 9, 2021

Practice Location

Address
8507 S 5TH ST # A-101
ZIP Code
98642-3421
Phone
(360) 887-2310

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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