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7333 Hellman Ave Rancho Cucamonga CA 91730-1302 | |
| (909) 483-0600 | |
| (909) 483-0669 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7333 Hellman Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jungwoo Seo (PRESIDENT/ OWNER) |
| Authorized Official Contact | 9094830600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7333 Hellman Ave Rancho Cucamonga CA 91730-1302 Ph: (909) 483-0600 | 7333 Hellman Ave Rancho Cucamonga CA 91730-1302 Ph: (909) 483-0600 |
| NPI Number | 1518261783 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518261783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49990 (California) | Primary |
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