Individual
DR. JEFFREY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
867 EASTGATE NORTH DR, CINCINNATI, OH 45245-1791
(513) 843-0133
Mailing address
1358 SATINWOOD, AMELIA, OH 45102-1093
(408) 603-5163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026184
OH
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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