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Individual
DR. DUONG DAI LY
Active
Individual
DR. DUONG DAI LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1341
SD
122300000X
Dentist
D14834
MN
122300000X
Dentist
Primary
DE61464733
WA
Other
Enumeration date
12/14/2021
Last updated
10/18/2024
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