Quy Van Ly DDS

NPI 1043348188 - Dentist - 1223G0001X

NPI Details
NPI 1043348188
Gender Male
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15422 CRENSHAW BLVD
GARDENA CA, 90249-4524, US
Phone (310) 352-4939
Fax (310) 352-4030
Business Location
15422 CRENSHAW BLVD
GARDENA CA, 90249-4524, US
Phone (310) 352-4939
Fax (310) 352-4030
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 40665
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According to our database, Dr. Quy Van Ly DDS NPI is 1043348188, taxonomy code is 1223G0001X and license number is 40665, license state is located at California. Quy Van Ly DDS physically located at 15422 Crenshaw Blvd, Gardena CA, 90249-4524. NPI Number Quy Van Ly DDS has the Individual type.

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1043348188 NPI number is provided on an as is basis without warranty of any kind. 1043348188 is maintained by the National Plan & Provider Enumeration System. The contents of Quy Van Ly DDS are for informational purposes only.