Individual
DR. KELLYNN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1168 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1923
(541) 378-3210
Mailing address
52 REMBRANDT, IRVINE, CA 92620-7314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10644
OR
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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