Individual
KELLEY HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3991 GRAND AVE STE D, CHINO, CA 91710-5442
(714) 345-4253
Mailing address
3991 GRAND AVE STE D, CHINO, CA 91710-5442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057374
NY
1223P0221X
Pediatric Dentistry
Primary
105831
CA
Other
Enumeration date
04/13/2015
Last updated
07/13/2022
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