| Eagle Glen Dental Group | |
|
3811 Bedford Canyon Rd Suite 105 Corona CA 92883 | |
| (951) 270-0211 | |
| (951) 270-0702 |
| Full Name | Eagle Glen Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3811 Bedford Canyon Rd, Corona, California |
| Authorized Official Name and Position | Sang Churl Paik (OWNER DENTIST) |
| Authorized Official Contact | 9512700211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Glen Dental Group 3811 Bedford Canyon Rd Suite 105 Corona CA 92883 Ph: (951) 270-0211 | Eagle Glen Dental Group 3811 Bedford Canyon Rd Suite 105 Corona CA 92883 Ph: (951) 270-0211 |
| NPI Number | 1497979280 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497979280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41861 (California) | Primary |
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