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1104008523
MICHAEL LY
PASADENA, CA
NPI
1104008523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 56446)
Enumeration Date
2007-11-27
Last Update Date
2008-08-05
Business Address
Dr. MICHAEL LY D.M.D
255 N ROSEMEAD BLVD
PASADENA, CA 91107-3102
Phone number: 626-731-8520
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Mailing Address
Dr. MICHAEL LY D.M.D
455 N LOS ROBLES AVE
PASADENA, CA 91101-1301
Phone number: 626-731-8520
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