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1629277900
MAI XUAN LY
TUSTIN, CA
NPI
1629277900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 55566)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
Dr. MAI XUAN LY D.D.S.
12561 RED HILL AVE
TUSTIN, CA 92780-2832
Phone number: 714-878-0597
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Mailing Address
Dr. MAI XUAN LY D.D.S.
12561 RED HILL AVE
TUSTIN, CA 92780-2832
Phone number: 714-878-0597
Copy
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