Individual
DR. LY PHUONG THI NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1210 MILLERSVILLE PIKE, LANCASTER, PA 17603-6656
(717) 299-4300
Mailing address
12880 PINEFOREST WAY W, LARGO, FL 33773-1722
(727) 252-9608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042875
PA
Other
Enumeration date
07/02/2020
Last updated
08/05/2020
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