| Phat Ly Dmd Pllc | |
|
8507 S 5th St Ste 101 Ridgefield WA 98642-3422 | |
| (360) 887-2310 | |
| Not Available |
| Full Name | Phat Ly Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8507 S 5th St Ste 101, Ridgefield, Washington |
| Authorized Official Name and Position | Phat Ly (DENTIST) |
| Authorized Official Contact | 3602136041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phat Ly Dmd Pllc 8507 S 5th St Ste 101 Ridgefield WA 98642-3422 Ph: (360) 887-2310 | Phat Ly Dmd Pllc 8507 S 5th St Ste 101 Ridgefield WA 98642-3422 Ph: (360) 887-2310 |
| NPI Number | 1841958626 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841958626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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