Organization
TUAN T. LY DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN T LY D.D.S (CEO)
(760) 745-0593
Entity
Organization
Contact information
Practice address
910 E GRAND AVE, A, ESCONDIDO, CA 92025-3430
(760) 745-0593
(760) 745-0633
Mailing address
910 E GRAND AVE, A, ESCONDIDO, CA 92025-3430
(760) 745-0593
(760) 745-0633
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052343
NY
1223P0221X
Pediatric Dentistry
57169
CA
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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