Organization Name: | TUAN T. LY DDS, INC |
NPI Number: | 1003254004 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TUAN T LY (CEO) |
Mailing Address: | 910 E Grand Ave A Escondido |
State: | CA US |
Postal Code: | 920253430 |
Phone Number: | 7607450593 |
Fax Number: | 7607450633 |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 57169 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |