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An Ly
NPI 1811666464 · on the registry since 2021
Practice
- Address
- 3711 Gregory St
Wichita Falls, TX 76308 - Phone
- (940) 386-6029
- Organisation at this address
- North Mesa Dental, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-14
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 Texas