Organization
PHAT LY DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHAT LY DMD (DENTIST)
(360) 213-6041
Entity
Organization
Contact information
Practice address
8507 S 5TH ST STE 101, RIDGEFIELD, WA 98642-3422
(360) 887-2310
Mailing address
8507 S 5TH ST STE 101, RIDGEFIELD, WA 98642-3422
(360) 887-2310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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