| A Plant Dental | |
|
531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 | |
| (626) 282-0884 | |
| Not Available |
| Full Name | A Plant Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 531 W Las Tunas Dr Ste A, San Gabriel, California |
| Authorized Official Name and Position | Albert Oh (CEO PRESIDENT SECRETARY) |
| Authorized Official Contact | 7143238007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Plant Dental 531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 Ph: () - | A Plant Dental 531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 Ph: (626) 282-0884 |
| NPI Number | 1184133076 |
|---|---|
| Provider Enumeration Date | 09/24/2017 |
| Last Update Date | 09/24/2017 |
| Medicare PECOS PAC ID | 0042573776 |
|---|---|
| Medicare Enrollment ID | O20180411001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184133076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Albert Eunsuk Oh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184903940 PECOS PAC ID: 3779842539 Enrollment ID: I20180124001756 |
| Provider Name | Sung Wook Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578088779 PECOS PAC ID: 8527321827 Enrollment ID: I20180419002742 |
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