Individual
ELLEN HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 W STAN SCHLUETER LOOP STE B800, KILLEEN, TX 76549-6691
(254) 519-1590
Mailing address
3000 GRACIE KILTZ LN APT 708, AUSTIN, TX 78758-0093
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40948
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
61367540
WA
Other
Enumeration date
05/08/2023
Last updated
09/26/2024
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