| California Wave Dental Center | |
|
16444 Paramount Blvd Ste 102 Paramount CA 90723-5453 | |
| (562) 633-6580 | |
| Not Available |
| Full Name | California Wave Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16444 Paramount Blvd Ste 102, Paramount, California |
| Authorized Official Name and Position | Young Jun An (DENTIST) |
| Authorized Official Contact | 8189889959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Wave Dental Center 16444 Paramount Blvd Ste 102 Paramount CA 90723-5453 Ph: (562) 633-6580 | California Wave Dental Center 16444 Paramount Blvd Ste 102 Paramount CA 90723-5453 Ph: (562) 633-6580 |
| NPI Number | 1447779871 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 09/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447779871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43413 (California) | Primary |
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