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Jonathan Ly
General Practice Dentistry in Simi Valley, California
NPI 1487007811

Jonathan Ly is a General Practice Dentistry based in Thousand Oaks, CA and is specialized in General Practice. Jonathan Ly practices in Simi Valley, CA. The NPI Number for Jonathan Ly is 1487007811 and holds a License No. 100404 (California).

The current practice location address for Jonathan Ly is 1975 Royal Ave Ste 1, Simi Valley, CA and can be reached out via phone at 805-526-3636.

Location: 1975 Royal Ave Ste 1, Simi Valley, CA, 91362-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487007811
Provider Name
Jonathan Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
1975 Royal Ave Ste 1, Simi Valley, CA, 91362-4609
Phone Number
805-526-3636
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1975 Royal Ave Ste 1
City
Simi Valley
State
California
Zip
93065-4603
Phone Number
805-526-3636
Fax Number
person
Provider Business Mailing Address Details
Address
1975 Royal Ave Ste 1
City
Simi Valley
State
California
Zip
93065-4603
Phone Number
805-526-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
100404 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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