| Street | 500 N Garfield Ave | ||
| City/Town | Monterey Park | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 91754 | ||
| Phone Number | (626) 572-7316 | ||
| Country | United States |
| Full Name | Prof. Ava Kohler DDS | ||
| Gender | female | ||
| Birthday | 2000-10-09 | ||
| Social Security Number | 303-37-3910 |
| Credit card brand | JCB | ||
| Credit card number | 3594969602227862 | ||
| Expire | 2027/11 | ||
| CVV | 370 |