JONATHAN LY

SIMI VALLEY, CA
NPI1487007811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  100404)
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
-- JONATHAN LY
1975 ROYAL AVE STE 1
SIMI VALLEY, CA 93065-4603
Phone number: 805-526-3636
Mailing Address
-- JONATHAN LY
2673 RIKKARD DR
THOUSAND OAKS, CA 91362-4609
Phone number:
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