Individual
AMY GRACE LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7671 QUARTERFIELD RD, GLEN BURNIE, MD 21061-4998
(410) 713-4075
Mailing address
142 LINDEN PL, TOWSON, MD 21286-5493
(858) 405-7139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18524
MD
1223G0001X
General Practice Dentistry
Primary
DS045334
PA
Other
Enumeration date
08/01/2025
Last updated
08/06/2026
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