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1790131761
PHONG LY
COON RAPIDS, MN
NPI
1790131761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D13699)
Enumeration Date
2016-05-10
Last Update Date
2019-08-06
Business Address
PHONG LY DDS
9920 FOLEY BLVD NW STE 110
COON RAPIDS, MN 55433-5216
Phone number: 763-377-2110
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Mailing Address
PHONG LY DDS
9920 FOLEY BLVD NW STE 110
COON RAPIDS, MN 55433-5216
Phone number: 763-317-1166
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