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Dr. Phat T Ly, DMD
General Practice Dentistry in Ridgefield, Washington
NPI 1720125966

Phat T Ly is a General Practice Dentistry based in Ridgefield, WA and is specialized in General Practice. Phat T Ly practices in Ridgefield, WA and has the professional credentials of DMD. The NPI Number for Phat T Ly is 1720125966 and holds a License No. DE00010063 (Washington).

The current practice location address for Phat T Ly is 8507 S 5Th St # A-101, Ridgefield, WA and can be reached out via phone at 360-887-2310 and via fax at 360-887-2309.

Location: 8507 S 5Th St # A-101, Ridgefield, WA, 98642-3421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720125966
Provider Name
Phat T Ly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
8507 S 5Th St # A-101, Ridgefield, WA, 98642-3421
Phone Number
360-887-2310
Fax Number
360-887-2309
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5047634 05 WA
institution
Provider Business Practice Location Address Details
Address
8507 S 5Th St # A-101
City
Ridgefield
State
Washington
Zip
98642-3421
Phone Number
360-887-2310
Fax Number
360-887-2309
person
Provider Business Mailing Address Details
Address
8507 S 5Th St # A-101
City
Ridgefield
State
Washington
Zip
98642-3421
Phone Number
360-887-2310
Fax Number
360-887-2309
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00010063 (Washington)
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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