Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Wong-Hazehara, DMD

Individual provider Dentist · NPI 1043004005

Kylie Wong-Hazehara, DMD is a Dentist in Seal Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4732 Fir Ave
Seal Beach, CA 90740-3011
Phone: (626) 419-3681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 111697 (CA)

Record details

NPI number1043004005
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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