Jonathan Ly
Jonathan Ly is a General Practice Dentistry in Simi Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
1975 Royal Ave Ste 1Simi Valley, CA 93065-4603
Phone: (805) 526-3636
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 100404 (CA) |
|---|
Record details
| NPI number | 1487007811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 21, 2016 |
| Last updated in NPPES | July 21, 2016 |
| Mailing address | 2673 Rikkard Dr, Thousand Oaks, CA 91362-4609 |
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