Healthcare Provider Details

I. General information

NPI: 1659780328
Provider Name (Legal Business Name): CHLOE NYUNT NYUNT KUO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. NYUNT NYUNT MA

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11733 VALLEY BLVD
EL MONTE CA
91732-3073
US

IV. Provider business mailing address

9235 RAMONA BLVD APT A
ROSEMEAD CA
91770-2087
US

V. Phone/Fax

Practice location:
  • Phone: 626-575-7565
  • Fax:
Mailing address:
  • Phone: 626-510-0314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number63847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: