Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI Number | 1124448121 |
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| LBN Legal business name | ANNE CHAN-LY, DDS, PLLC | ||||
| Authorized official | ANNE CHAN-LY - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/17/2014 | ||||
| Last updated | 04/17/2014 - About 12 years ago | ||||
| Identifiers |
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