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1831649185
BRIAN LY
ORANGE, CA
NPI
1831649185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 100738)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
Dr. BRIAN LY D.D.S.
293 N STATE COLLEGE BLVD APT 1017
ORANGE, CA 92868-5700
Phone number: 310-658-0620
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Mailing Address
Dr. BRIAN LY D.D.S.
293 N STATE COLLEGE BLVD APT 1017
ORANGE, CA 92868-5700
Phone number: 310-658-0620
Copy
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