Individual provider · Type 1 NPI

Kim M. Ly

General Practice Dentistry · Los Angeles, CA

NPI number 1306417860 Active

Practice location

5015 Whittier Blvd
Los Angeles, CA 90022-3116

Mailing address

800 S Harvard Blvd Apt 309
Los Angeles, CA 90005-4261

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X106485 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306417860

Kim M. Ly's National Provider Identifier is 1306417860, issued on Jul 6, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 6, 2021.