| Su-min Wang Professional Dental Corporation | |
|
24541 Pacific Park Dr Ste 104 Aliso Viejo CA 92656-3050 | |
| (949) 362-9860 | |
| (949) 362-4802 |
| Full Name | Su-min Wang Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24541 Pacific Park Dr Ste 104, Aliso Viejo, California |
| Authorized Official Name and Position | Su-min Wang (PRESIDENT) |
| Authorized Official Contact | 9493629860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su-min Wang Professional Dental Corporation 24541 Pacific Park Dr Ste 104 Aliso Viejo CA 92656-3050 Ph: (949) 362-9860 | Su-min Wang Professional Dental Corporation 24541 Pacific Park Dr Ste 104 Aliso Viejo CA 92656-3050 Ph: (949) 362-9860 |
| NPI Number | 1679782718 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679782718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 36030 (California) | Primary |
News Archive
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