Individual
SOKPHEAP PREAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5500 E ATHERTON ST STE 430, LONG BEACH, CA 90815-4018
(562) 537-8375
Mailing address
1401 MAYFIELD WAY, TUSTIN, CA 92782-1787
(562) 537-8375
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26589
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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