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Organization
MONGLAN HO D.D.S., INC.
Active
Organization
MONGLAN HO D.D.S., INC.
Active
Other names
DENTALAND
Organization subpart
No
Provider details
NPI number
Authorized official
MONGLAN HO D.D.S. (PRESIDENT)
(714) 839-2211
Entity
Organization
Contact information
Practice address
16027 BROOKHURST ST, SUITE J, FOUNTAIN VALLEY, CA 92708-1551
(714) 839-2211
(714) 531-3685
Mailing address
16027 BROOKHURST ST, SUITE J, FOUNTAIN VALLEY, CA 92708-1551
(714) 839-2211
(714) 531-3685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42661-01
DELTA HEALTHY FAMILY
CA
01
—
G92093-01
DENTICAL
CA
Enumeration date
09/26/2006
Last updated
08/22/2020
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