Individual
AUCO H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9029 ATLANTA AVE, HUNTINGTON BEACH, CA 92646-6332
(714) 963-0018
Mailing address
9029 ATLANTA AVE, HUNTINGTON BEACH, CA 92646-6332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110971
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
04/23/2026
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