Organization
TUAN T. LY, DDS INC
Active
Other names
iSmiles Kids Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN THANH LY DDS (PRACTICE OWNER)
(951) 273-9992
Entity
Organization
Contact information
Practice address
2097 COMPTON AVE, SUITE 104B, CORONA, CA 92881-7282
(951) 273-9992
(951) 273-9991
Mailing address
2097 COMPTON AVE, SUITE 104B, CORONA, CA 92881-7282
(951) 273-9992
(951) 273-9991
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57169
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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