TK LY DENTAL CORPORATION NPI 1679803241

NPI Information

TK LY DENTAL CORPORATION is a general practice dentist in Costa Mesa, CA. The provider is 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. TK LY DENTAL CORPORATION NPI is 1679803241. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bay Mesa Dental Office.

The provider's business location address is:

2023 HARBOR BLVD
SUITE D
COSTA MESA, CA
ZIP 92627-552
Phone: (949) 646-9000

The provider's authorized official is Tuankiet Quoc Ly .
The authorized official title is President and has the following contact phone number (949) 646-9000.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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