Phat Ly Dmd Pllc
NPI #1841958626 in Ridgefield, Washington
Provider Information
- NPI Number
- 1841958626
- Entity Type
- Organization
- Organization Name
- Phat Ly Dmd Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Nov 29, 2021
Practice Location
- Address
- 8507 S 5TH ST STE 101
- City
- Ridgefield
- State
- Washington
- ZIP Code
- 98642-3422
- Phone
- (360) 887-2310
Authorized Official
- Name
- DR. PHAT LY, DMD
- Title
- DENTIST
- Phone
- (360) 213-6041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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