| Dentist 4 Uninsured | |
|
657 W Avenue J Lancaster CA 93534-3551 | |
| (661) 726-1010 | |
| Not Available |
| Full Name | Dentist 4 Uninsured |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 657 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Jonathan S Won (CEO) |
| Authorized Official Contact | 6617261010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist 4 Uninsured 657 W Avenue J Lancaster CA 93534-3551 Ph: (661) 726-1010 | Dentist 4 Uninsured 657 W Avenue J Lancaster CA 93534-3551 Ph: (661) 726-1010 |
| NPI Number | 1124260344 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124260344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44125 (California) | Primary |
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