Individual
VIVIAN QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
767 N HILL ST STE 315, LOS ANGELES, CA 90012-2376
(213) 808-1792
Mailing address
5464 ALLAN ST, LOS ANGELES, CA 90032-3137
(626) 759-1988
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
34620
CA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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