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Individual

MICHAEL LY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MPH

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2324
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61675815
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/08/2024
Last updated
05/30/2025
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