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Individual

HONGSA SITU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16691 YORBA LINDA BLVD # 2, YORBA LINDA, CA 92886-2046
(714) 970-2801
Mailing address
4829 W ERIE ST, CHANDLER, AZ 85226-2971
(480) 689-2193

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
106180
CA
1223E0200X
Endodontics
D7379
AZ

Other

Enumeration date
08/17/2007
Last updated
11/23/2021
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