Individual
ANNALIESE NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24635 MADISON AVE STE E, MURRIETA, CA 92562-7556
(951) 600-1062
Mailing address
30265 CALLE HALCON, TEMECULA, CA 92592-5121
(951) 587-5504
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS111098
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2023
Last updated
02/02/2025
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