Ly, Phong
Ly, Phong is an individual health care provider with primary practice located at 9920 Foley Blvd Nw Ste 110 , Coon Rapids MN 55433-5216. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ly, Phong can be contacted via phone (763) 377-2110.Contact Information
Primary practice address
9920 Foley Blvd Nw Ste 110
Coon Rapids MN 55433-5216
Phone: (763) 377-2110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D13699 | Minnesota |
Profile Details
| NPI number | 1790131761 |
|---|---|
| LBN Legal business name | Ly, Phong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | Aug 6th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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