Individual
AILEEN NGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23033 LYONS AVE, SUITE 5, NEWHALL, CA 91321-2727
(661) 255-0400
Mailing address
23033 LYONS AVE, SUITE 5, NEWHALL, CA 91321-2727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65021
CA
1223G0001X
General Practice Dentistry
65021
CA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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