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Anthony Anhtuan Ly D.D.S., P.A.

Preferred Provider Organization in Houston, TX. Organization (NPI-2).

NPI number1770857039
StatusActive
Last updated in NPPESMar 5, 2012

Details

NPI
1770857039
Entity type
Organization (NPI-2)
Legal business name
Anthony Anhtuan Ly D.D.S., P.A.
Organization subpart
No
Enumeration date
Mar 5, 2012
Last updated
Mar 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization18013TXYes

Practice location

840 N Eldridge Pkwy
Suite 100
Houston, TX 77079-2704

Phone 281-558-3759 · Fax 281-558-6484

Mailing address

840 N Eldridge Pkwy
Suite 100
Houston, TX 77079-2704

Phone 281-558-3759 · Fax 281-558-6484

Authorized official

Rashay Strambler
Office Manager
2815583759

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