Trung Ly, RDH

NPI 1518296391 · on the registry since 2009

Practice

Address: 9320 Elk Grove Blvd
Ste. 170
Elk Grove, CA 95624
Phone: (916) 714-5422
Fax: (916) 714-5429
Organisation at this address: Vinh D Phan, Dds
Vivian Fernandez Dds.Inc
Aguilar Rios Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California