Individual
ELLEN XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6872 SARANAC STREET, SAN DIEGO, CA 92115
(619) 718-2615
Mailing address
6848 SARANAC ST, SAN DIEGO, CA 92115-1733
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31477
CA
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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