Individual
MICHELLE T LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(415) 996-9278
Mailing address
1542 BARBERRY CT, SAN JOSE, CA 95121-1703
(415) 996-9278
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
35191
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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