Individual
STEPHANIE CHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4714 AUTRY AVE, LONG BEACH, CA 90808-1115
(562) 400-4489
Mailing address
4714 AUTRY AVE, LONG BEACH, CA 90808-1115
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83028
CA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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