institution
Ly Ho Dental Corporation
Dental Clinic/Center in Anaheim, California
NPI 1639698277

Ly Ho Dental Corporation is a Dental Clinic/Center based in Anaheim, CA and is specialized in Dental. Ly Ho Dental Corporation practices in Anaheim, CA. The NPI Number for Ly Ho Dental Corporation is 1639698277 and holds a License No. (California).

The current practice location address for Ly Ho Dental Corporation is 420 S State College Blvd, Anaheim, CA and can be reached out via phone at 714-772-0770. You can also correspond with Ly Ho Dental Corporation through the mailing address at 9651 HILLVIEW RD, ANAHEIM, CA - 92804-3423 (mailing address contact number: ).

Location: 420 S State College Blvd, Anaheim, CA, 92804-3423
institution
Provider Profile Details
NPI Number
1639698277
Provider Name
Ly Ho Dental Corporation
Credential
Provider Entity Type
Organization
Address
420 S State College Blvd, Anaheim, CA, 92804-3423
Phone Number
714-772-0770
Fax Number
Provider Enumeration Date
09/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275814402 01 CA NPI TYPE 1
60984 01 CA DENTAL BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
420 S State College Blvd
City
State
Zip
92806-4119
Phone Number
714-772-0770
Fax Number
person
Provider Business Mailing Address Details
Address
420 S State College Blvd
City
State
Zip
92806-4119
Phone Number
714-772-0770
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(California)
Definition
Definition to come...
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