Individual
TRI HUONG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(314) 865-3838
(314) 865-2419
Mailing address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(314) 865-3838
(314) 865-2419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
200-101-1347
MO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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