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Organization
KIET XUAN NGO DDS INC.
Active
Organization
KIET XUAN NGO DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIET NGO DDS (PRESIDENT)
(626) 292-7233
Entity
Organization
Contact information
Practice address
316 E LAS TUNAS DR, SUITE 204, SAN GABRIEL, CA 91776-1535
(626) 292-7233
(626) 292-7238
Mailing address
316 E LAS TUNAS DR, SUITE 204, SAN GABRIEL, CA 91776-1535
(626) 292-7233
(626) 292-7238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45504
CA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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