Individual
DR. DUONG DAI LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1407 KRESKY AVE, CENTRALIA, WA 98531-8979
(360) 736-9397
Mailing address
1407 KRESKY AVE, CENTRALIA, WA 98531-8979
(206) 618-4496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1341
SD
122300000X
Dentist
D14834
MN
122300000X
Dentist
Primary
DE61464733
WA
Other
Enumeration date
12/14/2021
Last updated
10/18/2024
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