Individual
HAENA YU SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621-4668
(714) 503-6550
Mailing address
7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621-4668
(714) 503-6550
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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