Individual
AN NGOC LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
27412 ANTONIO PKWY STE R4, LADERA RANCH, CA 92694-2164
(949) 347-7083
Mailing address
1125 S TORRY PL, ANAHEIM, CA 92806-4924
(714) 818-3520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104881
CA
1223G0001X
General Practice Dentistry
35258
TX
Other
Enumeration date
06/23/2019
Last updated
06/02/2022
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