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Organization

KELLY HO, D.D.S.

Active
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Organization

KELLY HO, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY LY HO D.D.S., M.D.S. (OWNER)
(213) 617-0096
Entity
Organization

Contact information

Practice address
625 W COLLEGE ST STE 104, LOS ANGELES, CA 90012-1650
(213) 617-0096
(213) 621-1642
Mailing address
625 W COLLEGE ST STE 104, LOS ANGELES, CA 90012-1650
(213) 617-0096
(213) 621-1642

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42830
CA

Other

Enumeration date
03/12/2009
Last updated
03/12/2009
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