Individual
KALVYN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N STATE ST RM A3C, LOS ANGELES, CA 90089-1001
(408) 444-3550
Mailing address
2529 CLEARLAKE WAY, SACRAMENTO, CA 95826-2106
(408) 444-3550
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS107152
CA
Other
Enumeration date
03/01/2021
Last updated
06/11/2025
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