Charmane Ponghirun, Dds. Inc.

NPI #1699912857 in Walnut, California

Provider Information

NPI Number: 1699912857
Entity Type: Organization
Organization Name: Charmane Ponghirun, Dds. Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2009
Last Updated: Jan 9, 2009

Practice Location

Address: 1237 N GRAND AVE
City: Walnut
State: California
ZIP Code: 91789-1343
Phone: (909) 594-7027

Authorized Official

Name: DR. CHARMANE PONGHIRUN, DDS
Title: PRESIDENT
Phone: (909) 594-7027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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