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Individual

DR. EDWARD J. ONRUANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
501 S GARFIELD AVE, ALHAMBRA, CA 91801-3840
(626) 570-1818
Mailing address
501 S GARFIELD AVE, ALHAMBRA, CA 91801-3840
(626) 570-1818

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42589
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42589
CA DENTAL LICENSE
CA
Enumeration date
01/16/2008
Last updated
01/16/2008
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