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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.

Location: 420 S State College Blvd, Anaheim, CA, 92804-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Anaheim
State
California
Zip
92806-4119
Phone Number
714-772-0770
Fax Number
person
Provider Business Mailing Address Details
Address
420 S State College Blvd
City
Anaheim
State
California
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
261QD0000X
License No.
(California)
Definition
Definition to come...
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