Provider Demographics
NPI:1659780328
Name:KUO, CHLOE NYUNT NYUNT (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:NYUNT NYUNT
Last Name:KUO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NYUNT
Other - Middle Name:NYUNT
Other - Last Name:MA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9235 RAMONA BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2087
Mailing Address - Country:US
Mailing Address - Phone:626-510-0314
Mailing Address - Fax:
Practice Address - Street 1:11733 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-3073
Practice Address - Country:US
Practice Address - Phone:626-575-7565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63847122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist