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Individual

ANH DAC TRAM HO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2111 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-6801
(323) 261-9999
Mailing address
1304 W 2ND ST APT 357, LOS ANGELES, CA 90026-7014
(773) 750-7012

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104950
CA

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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