Organization
CHANGE HSIANG HUO
Active
Other names
Nice Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG HSIANG HUO (OWNER)
(626) 821-6566
Entity
Organization
Contact information
Practice address
118 W LAS TUNAS DR, SUITE D, ARACADIA, CA 91007
(626) 821-6566
(626) 821-9477
Mailing address
17055 ROYAL VIEW RD, HACIENDA HEIGHTS, CA 91745
(626) 964-3626
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9330901
PERIODONTIST DENTI CAL
CA
Enumeration date
11/01/2007
Last updated
11/01/2007
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