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Organization
HONG XIE, DDS, INC.
Active
Organization
HONG XIE, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONG XIE DDS (CHIEF OFFICER)
(510) 637-8289
Entity
Organization
Contact information
Practice address
2225 BUCHANAN RD, G, ANTIOCH, CA 94509-4209
(510) 637-8289
Mailing address
2225 BUCHANAN RD, G, ANTIOCH, CA 94509-4209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58642
CA
1223G0001X
General Practice Dentistry
Primary
58642
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
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Other
Enumeration date
10/08/2013
Last updated
04/14/2023
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