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Phat Ly, DMD
NPI 1720125966 · on the registry since 2007
Practice
- Address
- 8507 S 5th St # A-101
Ridgefield, WA 98642 - Phone
- (360) 887-2310
- Fax
- (360) 887-2309
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-09
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 Washington