Individual
MRS. CHONG O ALTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3993 LARKSPUR AVE, RIALTO, CA 92377-3581
(909) 997-7197
(909) 574-2644
Mailing address
3993 LARKSPUR AVE, RIALTO, CA 92377-3581
(909) 997-7197
(909) 574-2644
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
417
CA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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