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1518296391
TRUNG LY
ELK GROVE, CA
NPI
1518296391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 23972)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
-- TRUNG LY RDH
9320 ELK GROVE BLVD STE. 170
ELK GROVE, CA 95624-5062
Phone number: 916-714-5422
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Mailing Address
-- TRUNG LY RDH
7807 52ND AVE
SACRAMENTO, CA 95828-2037
Phone number: 916-383-2758
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