Individual
CHA HUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3320 N LOS COYOTES DIAGONAL STE 200, LONG BEACH, CA 90808-3938
(562) 377-1375
Mailing address
3320 N LOS COYOTES DIAGONAL STE 200, LONG BEACH, CA 90808-3938
(562) 377-1375
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
64525
CA
Other
Enumeration date
04/22/2012
Last updated
06/24/2024
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