Individual
DR. SALLY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6180 N DECATUR BLVD STE 100, LAS VEGAS, NV 89130-1505
(702) 359-3107
Mailing address
6180 N DECATUR BLVD STE 100, LAS VEGAS, NV 89130-1505
(702) 359-3107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7071
NV
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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