ROBERT LY
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1265176432- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B, SEATTLE, WA, 981957573
- Phone
- (206) 543-5860
Specialties & Taxonomies
Dentist
License: CA #DDS110071
Student in an Organized Health Care Education/Training Program
Oral & Maxillofacial Surgery
Primary License: WA #DR61678626
All Addresses
LOCATION
1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B
SEATTLE, WA, 981957573
MAILING
402 N EUCLID ST
SANTA ANA, CA, 927032414