DR. Michelle Ly, DMD

NPI #1992328058 in Mesa, Arizona

Provider Information

NPI Number: 1992328058
Entity Type: Individual
Name: DR. Michelle Ly, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 24, 2020
Last Updated: Dec 5, 2020

Practice Location

Address: 67 N DOBSON RD STE 104
City: Mesa
State: Arizona
ZIP Code: 85201-6824
Phone: (480) 900-7838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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