Individual
AILLIE HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 S WELLS RD, VENTURA, CA 93004-1377
(805) 673-3930
(805) 659-3217
Mailing address
1040 FLYNN RD, CAMARILLO, CA 93012-5092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100766
CA
Other
Enumeration date
06/24/2015
Last updated
12/20/2016
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