Individual
AN THI KHANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 GREGORY ST, WICHITA FALLS, TX 76308-1614
(940) 386-6029
Mailing address
5021 TAFT BLVD APT 1103, WICHITA FALLS, TX 76308-5370
(214) 606-5715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37842
TX
Other
Enumeration date
09/08/2021
Last updated
09/14/2021
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