Individual
DR. LY JULIE VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109
(734) 763-6933
Mailing address
34400 ORSINI DR, STERLING HEIGHTS, MI 48312-5774
(586) 744-9869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021961
MI
Other
Enumeration date
07/22/2016
Last updated
06/21/2018
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