Individual
DR. TUAN THANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 E GRAND AVE, SUITE A, ESCONDIDO, CA 92025-3430
(760) 745-0593
Mailing address
13242 CORTINA, TUSTIN, CA 92782-8730
(714) 504-4237
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57169
CA
Other
Enumeration date
08/27/2007
Last updated
02/22/2022
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