| Kiet Xuan Ngo Dds Inc. | |
|
316 E Las Tunas Dr Suite 204 San Gabriel CA 91776-1535 | |
| (626) 292-7233 | |
| (626) 292-7238 |
| Full Name | Kiet Xuan Ngo Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 316 E Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Kiet Ngo (PRESIDENT) |
| Authorized Official Contact | 6262927233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiet Xuan Ngo Dds Inc. 316 E Las Tunas Dr Suite 204 San Gabriel CA 91776-1535 Ph: (626) 292-7233 | Kiet Xuan Ngo Dds Inc. 316 E Las Tunas Dr Suite 204 San Gabriel CA 91776-1535 Ph: (626) 292-7233 |
| NPI Number | 1396990966 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396990966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45504 (California) | Primary |
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