Individual provider · Type 1 NPI

Jonathan Ly

General Practice Dentistry · Simi Valley, CA

NPI number 1487007811 Active

Practice location

1975 Royal Ave Ste 1
Simi Valley, CA 93065-4603

Call (805) 526-3636 Map

Mailing address

2673 Rikkard Dr
Thousand Oaks, CA 91362-4609

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X100404 (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 1487007811

Jonathan Ly's National Provider Identifier is 1487007811, issued on Jul 21, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Simi Valley, CA. The record was last updated on Jul 21, 2016.