Individual
TRUNG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
9320 ELK GROVE BLVD, STE. 170, ELK GROVE, CA 95624-5062
(916) 714-5422
(916) 714-5429
Mailing address
7807 52ND AVE, SACRAMENTO, CA 95828-2037
(916) 383-2758
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23972
CA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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