Individual
MISS KELLY JUNE DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
261 CHATEAU LA SALLE DR, SAN JOSE, CA 95111-3021
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
50647
CA
Other
Enumeration date
08/21/2006
Last updated
04/18/2016
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